Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $102.84	Professional		$97.94	$97.94	$102.84
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $515.50 / $515.50	Facility		$175.44	$515.50	$515.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $464.40	Professional		$97.94	$97.94	$464.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $147.15 / $8,090.00	Facility		$97.94	$147.15	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $515.50 / $515.50	Facility		$175.44	$515.50	$515.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $464.40	Professional		$97.94	$97.94	$464.40
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $180.09	Professional		$97.94	$97.94	$180.09