Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $105.60 / $14,972.60	Facility		$75.97	$105.60	$14,972.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $79.01 / $104.32	Professional		$75.97	$79.01	$104.32
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $83.57 / $190.23 / $465.60	Facility		$83.57	$190.23	$465.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $106.13	Professional		$75.97	$75.97	$106.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $96.94 / $206.64	Facility		$81.52	$96.94	$206.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $118.28 / $8,090.00	Facility		$75.97	$118.28	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $167.25	Professional		$75.97	$75.97	$167.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $37,129.36 / $37,129.36 / $37,129.36	Facility		$37,129.36	$37,129.36	$37,129.36
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $101.05 / $465.60	Facility		$101.05	$101.05	$465.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $113.96	Professional		$75.97	$75.97	$113.96
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $106.36	Professional		$75.97	$75.97	$106.36