Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $99.13 / $144.22	Facility		$73.20	$99.13	$144.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $74.16 / $161.34	Professional		$73.20	$74.16	$161.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $196.18 / $381.80	Facility		$69.72	$196.18	$381.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $76.86 / $2,022.25	Professional		$73.20	$76.86	$2,022.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $89.89 / $174.66	Facility		$78.47	$89.89	$174.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $120.41 / $131.38	Professional		$73.20	$120.41	$131.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.19 / $73.20 / $73.20	Facility		$73.19	$73.20	$73.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $78.55	Professional		$73.20	$73.20	$78.55
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $115.42 / $8,090.00	Facility		$73.20	$115.42	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $73.20	Professional		$73.20	$73.20	$73.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $84.72	Professional		$73.20	$73.20	$84.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $72.04 / $76.95	Professional		$72.02	$72.04	$76.95
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $381.80 / $381.80	Facility		$97.37	$381.80	$381.80
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.59 / $2,022.25	Professional		$73.20	$77.59	$2,022.25
Tufts Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $76.81 / $118.11	Professional		$64.26	$76.81	$118.11
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.59 / $94.82	Professional		$73.20	$77.59	$94.82