Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $103.22 / $147.88	Facility		$73.94	$103.22	$147.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $88.26	Professional		$73.94	$73.94	$88.26
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $60.62 / $204.15 / $369.70	Facility		$60.62	$204.15	$369.70
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $310.70	Professional		$73.94	$73.94	$310.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $90.80 / $176.42	Facility		$79.26	$90.80	$176.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $73.94 / $73.94	Facility		$70.37	$73.94	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $116.21 / $8,090.00	Facility		$73.94	$116.21	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $85.58	Professional		$73.94	$73.94	$85.58
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $98.35 / $369.70 / $369.70	Facility		$98.35	$369.70	$369.70
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $310.70	Professional		$73.94	$78.38	$310.70
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $95.78	Professional		$73.94	$73.94	$95.78