Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $205.88	Facility		$102.94	$102.94	$205.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $107.05 / $121.79	Professional		$102.94	$107.05	$121.79
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $133.30 / $257.76 / $697.75	Facility		$133.30	$257.76	$697.75
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $163.19	Professional		$102.94	$102.94	$163.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.45 / $131.35 / $280.00	Facility		$110.45	$131.35	$280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Facility		$102.94	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $160.35 / $8,090.00	Facility		$101.49	$160.35	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $213.79	Professional		$102.94	$102.94	$213.79
Health New England Facility/Professional Facility Modifier Low / Median / High Price $2,905.14 / $2,905.14 / $3,009.53	Facility		$2,905.14	$2,905.14	$3,009.53
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $697.75	Facility		$163.19	$163.19	$697.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $163.19	Professional		$102.94	$102.94	$163.19
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $163.19	Professional		$102.94	$102.94	$163.19