Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $154.71	Professional		$106.70	$106.70	$154.71
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $353.50 / $604.19	Facility		$106.70	$353.50	$604.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $1,448.75	Professional		$106.70	$106.70	$1,448.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.49 / $131.03 / $240.61	Facility		$114.49	$131.03	$240.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $122.36	Professional		$106.70	$106.70	$122.36
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $160.32 / $8,090.00	Facility		$106.70	$160.32	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $604.19 / $604.19	Facility		$479.40	$604.19	$604.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $1,448.75	Professional		$106.70	$106.70	$1,448.75
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $201.20	Professional		$106.70	$106.70	$201.20