Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $100.00 / $302.00	Facility		$19.95	$100.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $40.74	Professional		$19.95	$28.18	$40.74
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $218.78	Professional		$26.30	$26.30	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $69.18	Facility		$28.84	$33.88	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $74.13	Professional		$63.10	$63.10	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $70.79	Professional		$43.65	$43.65	$70.79
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $218.78	Professional		$26.30	$26.30	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $43.65 / $52.48	Facility		$26.30	$43.65	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $75.86	Professional		$26.30	$33.88	$75.86