Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $254.90	Facility		$127.45	$127.45	$254.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $132.55 / $151.49	Professional		$127.45	$132.55	$151.49
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $139.28 / $319.13 / $818.35	Facility		$139.28	$319.13	$818.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $183.21	Professional		$127.45	$127.45	$183.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.75 / $162.63 / $346.66	Facility		$136.75	$162.63	$346.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Facility		$127.45	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $199.46 / $8,090.00	Facility		$126.24	$199.46	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $264.69	Professional		$127.45	$127.45	$264.69
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $183.21 / $183.21 / $1,102.17	Facility		$183.21	$183.21	$1,102.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $191.18	Professional		$127.45	$127.45	$191.18
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $191.18	Professional		$127.45	$127.45	$191.18