Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $127.36	Facility		$63.68	$63.68	$127.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $66.23 / $74.95	Professional		$63.68	$66.23	$74.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $154.81 / $210.97	Facility		$51.07	$154.81	$210.97
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $117.28	Professional		$63.68	$63.68	$117.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.26 / $75.59 / $84.31	Facility		$68.26	$75.59	$84.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Facility		$63.68	$63.68	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $98.70 / $8,090.00	Facility		$63.68	$98.70	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $132.25	Professional		$63.68	$63.68	$132.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $117.28 / $117.28 / $318.39	Facility		$117.28	$117.28	$318.39
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $71.31 / $117.28	Professional		$63.68	$71.31	$117.28
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $71.31 / $117.28	Professional		$63.68	$71.31	$117.28