Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $380.19 / $1,258.93	Facility		$93.33	$380.19	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $169.82	Professional		$93.33	$93.33	$169.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $239.88 / $316.23	Facility		$87.10	$239.88	$316.23
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $114.82	Professional		$93.33	$95.50	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $186.21	Facility		$93.33	$93.33	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $147.91 / $8,511.38	Facility		$93.33	$147.91	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $158.49	Professional		$95.50	$95.50	$158.49
Health New England Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $309.03 / $602.56	Facility		$239.88	$309.03	$602.56
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $239.88 / $316.23	Facility		$87.10	$239.88	$316.23
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $114.82	Professional		$93.33	$95.50	$114.82
Tufts Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $194.98	Facility		$91.20	$93.33	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $131.83	Professional		$91.20	$93.33	$131.83