Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Facility		$65.41	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $68.02	Professional		$65.41	$65.41	$68.02
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $200.29 / $288.80	Facility		$68.68	$200.29	$288.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $288.80	Professional		$65.41	$65.41	$288.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.18 / $80.31 / $147.50	Facility		$70.18	$80.31	$147.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Facility		$65.40	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Professional		$65.40	$65.40	$65.40
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $98.28 / $8,090.00	Facility		$65.41	$98.28	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Professional		$65.41	$65.41	$65.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Professional		$65.41	$65.41	$65.41
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $87.01 / $87.01 / $288.80	Facility		$87.01	$87.01	$288.80
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $288.80	Professional		$65.41	$65.41	$288.80
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $110.92	Professional		$65.41	$65.41	$110.92