Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $69.95	Professional		$67.27	$67.27	$69.95
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $176.32 / $333.17	Facility		$176.32	$176.32	$333.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $410.00	Professional		$67.27	$67.27	$410.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $101.07 / $8,090.00	Facility		$67.27	$101.07	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $176.32 / $333.17	Facility		$176.32	$176.32	$333.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $410.00	Professional		$67.27	$67.27	$410.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $129.83	Professional		$67.27	$67.27	$129.83