Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $289.27 / $414.26	Facility		$207.13	$289.27	$414.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $227.84	Professional		$207.13	$207.13	$227.84
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $184.22 / $571.89 / $1,035.65	Facility		$184.22	$571.89	$1,035.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $210.38 / $904.64	Professional		$207.13	$210.38	$904.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.04 / $254.36 / $494.21	Facility		$222.04	$254.36	$494.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $207.13 / $207.13	Facility		$204.90	$207.13	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Professional		$207.13	$207.13	$207.13
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $325.69 / $8,090.00	Facility		$206.13	$325.69	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Professional		$207.13	$207.13	$207.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $239.73	Professional		$207.13	$207.13	$239.73
Health New England Facility/Professional Facility Modifier Low / Median / High Price $324.89 / $324.89 / $1,314.22	Facility		$324.89	$324.89	$1,314.22
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $275.52 / $1,035.65 / $1,035.65	Facility		$275.52	$1,035.65	$1,035.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $219.56 / $904.64	Professional		$207.13	$219.56	$904.64
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $268.30	Professional		$207.13	$207.13	$268.30