Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $112.20	Facility		$56.10	$56.10	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $58.35 / $68.92	Professional		$56.10	$58.35	$68.92
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $49.76 / $140.47 / $280.50	Facility		$49.76	$140.47	$280.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $70.97	Professional		$56.10	$56.10	$70.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.20 / $71.58 / $152.59	Facility		$60.20	$71.58	$152.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $90.74 / $8,090.00	Facility		$57.43	$90.74	$8,090.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $116.51	Professional		$56.10	$56.10	$116.51
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $280.50	Facility		$75.00	$75.00	$280.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $84.15	Professional		$56.10	$56.10	$84.15
United Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $78.54	Professional		$56.10	$56.10	$78.54