Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $157.86	Facility		$78.93	$78.93	$157.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $82.09 / $94.12	Professional		$78.93	$82.09	$94.12
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $197.64 / $394.65	Facility		$81.02	$197.64	$394.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $99.85	Professional		$78.93	$78.93	$99.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.69 / $100.71 / $214.69	Facility		$84.69	$100.71	$214.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $123.92 / $8,090.00	Facility		$78.93	$123.92	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $163.92	Professional		$78.93	$78.93	$163.92
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $104.99 / $104.99 / $394.65	Facility		$104.99	$104.99	$394.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $118.40	Professional		$78.93	$78.93	$118.40
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $110.51	Professional		$78.93	$78.93	$110.51