Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $138.49	Professional		$131.90	$131.90	$138.49
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $393.72 / $637.37	Facility		$131.90	$393.72	$637.37
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $2,287.69	Professional		$131.90	$131.90	$2,287.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.22 / $522.97 / $667.15	Facility		$454.22	$522.97	$667.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $198.18 / $8,090.00	Facility		$131.90	$198.18	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Professional		$131.90	$131.90	$131.90
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $382.50 / $637.37	Facility		$382.50	$382.50	$637.37
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $2,287.69	Professional		$131.90	$131.90	$2,287.69
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $311.27	Professional		$131.90	$131.90	$311.27