Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $136.18	Professional		$123.80	$123.80	$136.18
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $369.54 / $562.96	Facility		$123.80	$369.54	$562.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $3,125.88	Professional		$123.80	$123.80	$3,125.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $223.98	Professional		$123.80	$123.80	$223.98
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $186.01 / $8,090.00	Facility		$123.80	$186.01	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $185.30 / $218.00	Professional		$185.30	$185.30	$218.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $263.50 / $263.50 / $562.96	Facility		$263.50	$263.50	$562.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $3,125.88	Professional		$123.80	$123.80	$3,125.88
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $255.87	Professional		$123.80	$123.80	$255.87