| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $123.03 | $123.03 | $123.03 | |
Mass General Brigham
| Facility | $123.03 | $123.03 | $123.03 |
Drug Scr Qual 1 Drug Class Meth Ea Drug Class
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AllWays Health Partners
| Facility | $123.03 | $123.03 | $123.03 | |
Mass General Brigham
| Facility | $123.03 | $123.03 | $123.03 |