Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $111.25	Professional		$106.97	$106.97	$111.25
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $171.56 / $411.76	Facility		$106.97	$171.56	$411.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $268.45	Professional		$106.97	$106.97	$268.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $160.72 / $8,090.00	Facility		$106.97	$160.72	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $142.30 / $142.30 / $171.56	Facility		$142.30	$142.30	$171.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $268.45	Professional		$106.97	$106.97	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $176.93	Professional		$106.97	$106.97	$176.93