Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $364.90 / $842.21	Facility		$182.45	$364.90	$842.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $189.74 / $234.95	Professional		$182.45	$189.74	$234.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $170.33 / $456.85 / $818.35	Facility		$170.33	$456.85	$818.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $285.55	Professional		$182.45	$182.45	$285.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.77 / $232.81 / $496.26	Facility		$195.77	$232.81	$496.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Facility		$182.45	$182.45	$182.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $309.35 / $8,090.00	Facility		$182.45	$309.35	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $378.91	Professional		$182.45	$182.45	$378.91
Health New England Facility/Professional Facility Modifier Low / Median / High Price $256.82 / $387.44 / $1,392.84	Facility		$256.82	$387.44	$1,392.84
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $285.60 / $285.60 / $1,058.95	Facility		$285.60	$285.60	$1,058.95
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $285.55	Professional		$182.45	$182.45	$285.55
Tufts Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $208.14 / $421.23	Facility		$141.88	$208.14	$421.23
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $285.55	Professional		$182.45	$182.45	$285.55