Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $57.22	Facility		$28.61	$28.61	$57.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $29.76 / $36.96	Professional		$28.61	$29.76	$36.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $76.67 / $255.00	Facility		$25.85	$76.67	$255.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $142.77	Professional		$28.61	$28.61	$142.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $36.51 / $77.81	Facility		$30.70	$36.51	$77.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Facility		$28.61	$28.61	$28.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $57.22 / $8,090.00	Facility		$34.04	$57.22	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $66.66	Professional		$28.61	$28.61	$66.66
Health New England Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $116.96 / $552.74	Facility		$116.96	$116.96	$552.74
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $168.40 / $255.00	Facility		$168.40	$168.40	$255.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $142.77	Professional		$28.61	$28.61	$142.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $142.77	Professional		$28.61	$28.61	$142.77