Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $141.63	Professional		$134.88	$134.88	$141.63
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $402.65 / $633.20	Facility		$134.88	$402.65	$633.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $633.20	Professional		$134.88	$134.88	$633.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $202.67 / $8,090.00	Facility		$134.88	$202.67	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $179.42 / $179.42 / $633.20	Facility		$179.42	$179.42	$633.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $633.20	Professional		$134.88	$134.88	$633.20
United Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $134.88 / $223.11	Professional		$124.10	$134.88	$223.11