Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $384.00	Facility		$163.19	$163.19	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $166.16 / $416.16 / $818.35	Facility		$166.16	$416.16	$818.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $163.19 / $197.78	Professional		$160.00	$163.19	$197.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.72 / $232.74 / $496.13	Facility		$195.72	$232.74	$496.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $338.93	Professional		$163.19	$163.19	$338.93
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $831.65	Facility		$192.00	$192.00	$831.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $240.00	Professional		$160.00	$160.00	$240.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $224.01	Professional		$160.00	$160.00	$224.01