Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $116.29 / $163.80	Facility		$81.90	$116.29	$163.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $98.28	Professional		$81.90	$81.90	$98.28
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $219.49 / $409.50	Facility		$70.45	$219.49	$409.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.00 / $350.34	Professional		$81.90	$86.00	$350.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $100.57 / $195.41	Facility		$87.80	$100.57	$195.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $81.90 / $81.90	Facility		$79.34	$81.90	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $130.91 / $8,090.00	Facility		$82.86	$130.91	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $94.79	Professional		$81.90	$81.90	$94.79
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $108.94 / $409.50 / $409.50	Facility		$108.94	$409.50	$409.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.81 / $350.34	Professional		$81.90	$86.81	$350.34
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.81 / $106.09	Professional		$81.90	$86.81	$106.09