Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $93.34	Professional		$89.75	$89.75	$93.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $292.76 / $1,668.00	Facility		$89.75	$292.76	$1,668.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $1,884.84	Professional		$89.75	$89.75	$1,884.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $110.21 / $202.39	Facility		$96.30	$110.21	$202.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $134.85 / $8,090.00	Facility		$89.75	$134.85	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $103.62 / $121.90	Professional		$103.62	$103.62	$121.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $1,417.80 / $1,668.00	Facility		$1,417.80	$1,417.80	$1,668.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $1,884.84	Professional		$89.75	$89.75	$1,884.84
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $169.24	Professional		$89.75	$89.75	$169.24