Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $5.38 / $63.20	Facility		$3.45	$5.38	$63.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.73	Professional		$3.45	$3.45	$4.73
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $11.43 / $339.83	Facility		$3.98	$11.43	$339.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.62 / $111.13	Professional		$3.45	$3.62	$111.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $4.24 / $8.23	Facility		$3.70	$4.24	$8.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.62 / $17.95	Professional		$3.45	$4.62	$17.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.45 / $3.45	Facility		$3.45	$3.45	$3.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.29	Professional		$3.45	$3.45	$4.29
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $83.43 / $8,090.00	Facility		$4.11	$83.43	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $3.45	Professional		$3.45	$3.45	$3.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $3.99	Professional		$3.45	$3.45	$3.99
Health New England Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $52.21 / $83.73	Facility		$7.74	$52.21	$83.73
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $339.83 / $339.83	Facility		$75.00	$339.83	$339.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.66 / $111.13	Professional		$3.45	$3.66	$111.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.65 / $7.50	Professional		$3.45	$3.65	$7.50