Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Facility		$349.02	$349.02	$349.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $362.98	Professional		$349.02	$349.02	$362.98
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $688.50 / $688.50 / $1,215.00	Facility		$688.50	$688.50	$1,215.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $2,835.00	Professional		$349.02	$349.02	$2,835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Facility		$349.01	$349.01	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Professional		$349.01	$349.01	$349.01
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $524.40 / $8,090.00	Facility		$349.02	$524.40	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Professional		$349.02	$349.02	$349.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Professional		$349.02	$349.02	$349.02
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $688.50 / $688.50 / $1,215.00	Facility		$688.50	$688.50	$1,215.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $2,835.00	Professional		$349.02	$349.02	$2,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $673.61	Professional		$349.02	$349.02	$673.61