Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $189.47	Professional		$182.18	$182.18	$189.47
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $543.80 / $804.35	Facility		$182.18	$543.80	$804.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $804.35	Professional		$182.18	$182.18	$804.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.60 / $666.18 / $849.83	Facility		$578.60	$666.18	$849.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $273.73 / $8,090.00	Facility		$182.18	$273.73	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $447.50 / $447.50 / $804.35	Facility		$447.50	$447.50	$804.35
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $804.35	Professional		$182.18	$182.18	$804.35
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $476.82	Professional		$182.18	$182.18	$476.82