Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $288.40	Professional		$77.62	$95.50	$288.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $194.98 / $912.01	Facility		$169.82	$194.98	$912.01
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $194.98	Professional		$79.43	$141.25	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $134.90	Professional		$95.50	$95.50	$134.90
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $251.19	Professional		$165.96	$165.96	$251.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $194.98 / $912.01	Facility		$169.82	$194.98	$912.01
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $194.98	Professional		$79.43	$144.54	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $102.33 / $234.42	Facility		$0.14	$102.33	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $165.96	Professional		$74.13	$109.65	$165.96