Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $1,860.27	Facility		$2.93	$2.93	$1,860.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.22	Professional		$2.93	$2.93	$3.22
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $1,664.49	Professional		$2.93	$2.93	$1,664.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $3.59 / $6.99	Facility		$2.93	$3.59	$6.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Facility		$2.93	$2.93	$2.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Professional		$2.93	$2.93	$2.93
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Facility		$2.93	$2.93	$2.93
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $3.53	Professional		$2.93	$2.93	$3.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Professional		$2.93	$2.93	$2.93
Health New England Facility/Professional Facility Modifier Low / Median / High Price $1,273.78 / $1,273.78 / $1,273.78	Facility		$1,273.78	$1,273.78	$1,273.78
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $1,664.49	Professional		$2.93	$2.93	$1,664.49
United Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $4.97	Professional		$2.93	$2.93	$4.97