Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $95.20	Professional		$91.54	$91.54	$95.20
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $136.00 / $304.81	Facility		$136.00	$136.00	$304.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $304.81	Professional		$91.54	$91.54	$304.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $137.54 / $8,090.00	Facility		$91.54	$137.54	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $136.00 / $304.81	Facility		$136.00	$136.00	$304.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $304.81	Professional		$91.54	$91.54	$304.81
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $180.09	Professional		$91.54	$91.54	$180.09