Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $681.51	Professional		$655.29	$655.29	$681.51
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,487.50 / $1,487.50 / $4,487.09	Facility		$1,487.50	$1,487.50	$4,487.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $4,487.09	Professional		$655.29	$655.29	$4,487.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $984.59 / $8,090.00	Facility		$655.29	$984.59	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,487.50 / $1,487.50 / $4,487.09	Facility		$1,487.50	$1,487.50	$4,487.09
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $4,487.09	Professional		$655.29	$655.29	$4,487.09
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $1,354.37	Professional		$655.29	$655.29	$1,354.37