Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $213.80	Facility		$77.62	$120.23	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $128.82	Professional		$77.62	$77.62	$128.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $194.98 / $257.04	Facility		$69.18	$194.98	$257.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $154.88	Facility		$77.62	$77.62	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $8,511.38	Facility		$79.43	$125.89	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $131.83	Professional		$77.62	$77.62	$131.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $194.98 / $257.04	Facility		$69.18	$194.98	$257.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $165.96	Facility		$77.62	$77.62	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $109.65	Professional		$77.62	$77.62	$109.65