Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.21 / $139.21 / $278.42	Facility		$139.21	$139.21	$278.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $166.40	Professional		$139.21	$139.21	$166.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $116.74 / $384.36 / $696.05	Facility		$116.74	$384.36	$696.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $2,513.09	Professional		$139.21	$139.21	$2,513.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $170.95 / $332.16	Facility		$149.22	$170.95	$332.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.43 / $139.21 / $139.21	Facility		$136.43	$139.21	$139.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $219.10 / $8,090.00	Facility		$138.66	$219.10	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $139.21	Professional		$139.21	$139.21	$139.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $161.12	Professional		$139.21	$139.21	$161.12
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $696.05 / $696.05	Facility		$185.18	$696.05	$696.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $147.56 / $2,513.09	Professional		$139.21	$147.56	$2,513.09
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $180.32	Professional		$139.21	$139.21	$180.32