Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $213.15	Professional		$204.96	$204.96	$213.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,076.67 / $1,076.67 / $1,266.67	Facility		$1,076.67	$1,076.67	$1,266.67
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $1,778.96	Professional		$204.96	$204.96	$1,778.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $668.80	Professional		$204.96	$204.96	$668.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $307.95 / $8,090.00	Facility		$204.96	$307.95	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,076.67 / $1,076.67 / $1,266.67	Facility		$1,076.67	$1,076.67	$1,266.67
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $1,778.96	Professional		$204.96	$204.96	$1,778.96
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $423.61	Professional		$204.96	$204.96	$423.61