Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $109.42	Facility		$54.71	$54.71	$109.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $56.90 / $66.58	Professional		$54.71	$56.90	$66.58
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $136.99 / $314.05	Facility		$55.36	$136.99	$314.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $67.33	Professional		$54.71	$54.71	$67.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $69.81 / $148.81	Facility		$58.70	$69.81	$148.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Facility		$54.71	$54.71	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $87.66 / $8,090.00	Facility		$55.48	$87.66	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $113.62	Professional		$54.71	$54.71	$113.62
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $314.05	Facility		$75.00	$75.00	$314.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $82.07	Professional		$54.71	$54.71	$82.07
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $76.59	Professional		$54.71	$54.71	$76.59