Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $690.17	Professional		$663.63	$663.63	$690.17
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $882.76 / $882.76 / $3,792.20	Facility		$882.76	$882.76	$3,792.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $3,792.20	Professional		$663.63	$663.63	$3,792.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $997.10 / $8,090.00	Facility		$663.63	$997.10	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Professional		$663.63	$663.63	$663.63
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $882.76 / $882.76 / $3,792.20	Facility		$882.76	$882.76	$3,792.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $3,792.20	Professional		$663.63	$663.63	$3,792.20
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $1,097.67	Professional		$663.63	$663.63	$1,097.67