Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $102.03	Professional		$98.11	$98.11	$102.03
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $292.86 / $413.10	Facility		$98.11	$292.86	$413.10
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $635.40	Professional		$98.11	$98.11	$635.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $147.41 / $8,090.00	Facility		$98.11	$147.41	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Professional		$98.11	$98.11	$98.11
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $240.04 / $240.04 / $413.10	Facility		$240.04	$240.04	$413.10
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $635.40	Professional		$98.11	$98.11	$635.40
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $202.77	Professional		$98.11	$98.11	$202.77