Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $123.60	Facility		$61.80	$61.80	$123.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $64.27 / $84.86	Professional		$61.80	$64.27	$84.86
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $204.74 / $747.02	Facility		$67.98	$204.74	$747.02
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $237.44	Professional		$61.80	$61.80	$237.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $78.86 / $168.10	Facility		$66.31	$78.86	$168.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Facility		$61.80	$61.80	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $98.20 / $8,090.00	Facility		$62.15	$98.20	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $123.69 / $145.52	Professional		$123.69	$123.69	$145.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $128.35	Professional		$61.80	$61.80	$128.35
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $271.20 / $271.20 / $747.02	Facility		$271.20	$271.20	$747.02
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $237.44	Professional		$61.80	$61.80	$237.44
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $237.44	Professional		$61.80	$61.80	$237.44