Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $143.44	Professional		$137.93	$137.93	$143.44
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $411.72 / $1,027.45	Facility		$137.93	$411.72	$1,027.45
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $1,027.45	Professional		$137.93	$137.93	$1,027.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $207.24 / $8,090.00	Facility		$137.93	$207.24	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $183.47 / $183.47 / $1,027.45	Facility		$183.47	$183.47	$1,027.45
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $1,027.45	Professional		$137.93	$137.93	$1,027.45
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $259.27	Professional		$137.93	$137.93	$259.27