Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $105.78	Professional		$101.72	$101.72	$105.78
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $303.63 / $515.16	Facility		$101.72	$303.63	$515.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $515.16	Professional		$101.72	$101.72	$515.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $152.83 / $8,090.00	Facility		$101.72	$152.83	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $229.98 / $229.98 / $515.16	Facility		$229.98	$229.98	$515.16
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $515.16	Professional		$101.72	$101.72	$515.16
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $191.81	Professional		$101.72	$101.72	$191.81