Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $147.91 / $616.60	Facility		$104.71	$147.91	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $776.25	Professional		$104.71	$104.71	$776.25
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $1,584.89	Facility		$112.20	$199.53	$1,584.89
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $426.58	Professional		$72.44	$104.71	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $208.93	Facility		$104.71	$104.71	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $162.18	Professional		$72.44	$117.49	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $8,511.38	Facility		$104.71	$169.82	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $109.65	Professional		$72.44	$72.44	$109.65
Health New England Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $891.25 / $2,691.53	Facility		$363.08	$891.25	$2,691.53
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $1,584.89	Facility		$112.20	$199.53	$1,584.89
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $467.74	Professional		$72.44	$104.71	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $323.59	Facility		$104.71	$151.36	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $169.82	Professional		$104.71	$104.71	$169.82