Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Facility		$87.10	$114.82	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $147.91	Professional		$87.10	$87.10	$147.91
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $512.86	Facility		$95.50	$239.88	$512.86
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $257.04	Professional		$87.10	$87.10	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $173.78	Facility		$87.10	$87.10	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $134.90 / $8,511.38	Facility		$85.11	$134.90	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Professional		$87.10	$87.10	$100.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $512.86	Facility		$95.50	$239.88	$512.86
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $269.15	Professional		$87.10	$87.10	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $251.19	Facility		$117.49	$194.98	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49