Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $84.96	Facility		$42.48	$42.48	$84.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $44.18 / $49.68	Professional		$42.48	$44.18	$49.68
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $106.37 / $212.40	Facility		$41.53	$106.37	$212.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $53.73	Professional		$42.48	$42.48	$53.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.58 / $54.20 / $115.55	Facility		$45.58	$54.20	$115.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Facility		$42.48	$42.48	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $82.80 / $8,090.00	Facility		$42.48	$82.80	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $88.22	Professional		$42.48	$42.48	$88.22
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $212.40	Facility		$75.00	$75.00	$212.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $63.72	Professional		$42.48	$42.48	$63.72
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $59.47	Professional		$42.48	$42.48	$59.47