Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $85.00 / $85.00	Professional		$80.00	$85.00	$85.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Facility		$100.00	$100.00	$200.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $380.00	Professional		$160.91	$160.91	$380.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $4,618.00 / $9,239.00	Facility		$83.43	$4,618.00	$9,239.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Facility		$100.00	$100.00	$200.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $380.00	Professional		$160.91	$160.91	$380.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $160.91 / $266.17	Professional		$128.74	$160.91	$266.17