Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $92.98	Professional		$89.41	$89.41	$92.98
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $384.93	Facility		$225.00	$225.00	$384.93
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $436.14	Professional		$89.41	$89.41	$436.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $134.34 / $8,090.00	Facility		$89.41	$134.34	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $384.93	Facility		$225.00	$225.00	$384.93
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $436.14	Professional		$89.41	$89.41	$436.14
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $168.59	Professional		$89.41	$89.41	$168.59