Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $371.54	Professional		$112.20	$112.20	$371.54
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $1,000.00	Professional		$125.89	$125.89	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $234.42 / $8,511.38	Facility		$134.90	$234.42	$8,511.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Professional		$181.97	$181.97	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $134.90	Professional		$112.20	$112.20	$134.90
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $933.25	Professional		$125.89	$125.89	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $380.19 / $1,096.48	Facility		$177.83	$380.19	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $812.83	Professional		$112.20	$125.89	$812.83