Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $170.59 / $408.26	Facility		$78.81	$170.59	$408.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $128.30 / $169.41	Professional		$123.36	$128.30	$169.41
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $97.98 / $308.89 / $505.07	Facility		$97.98	$308.89	$505.07
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $123.36 / $156.05	Professional		$118.44	$123.36	$156.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.37 / $157.41 / $335.54	Facility		$132.37	$157.41	$335.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Facility		$123.36	$123.36	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $194.91 / $8,090.00	Facility		$123.36	$194.91	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $261.52	Professional		$123.36	$123.36	$261.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $195.93 / $425.65	Facility		$88.69	$195.93	$425.65
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $164.10 / $164.10 / $505.07	Facility		$164.10	$164.10	$505.07
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $123.36 / $185.04	Professional		$118.44	$123.36	$185.04
United Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $123.36 / $172.71	Professional		$118.44	$123.36	$172.71