Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $73.52	Professional		$70.70	$70.70	$73.52
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $320.72	Facility		$300.00	$300.00	$320.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $345.00	Professional		$70.70	$70.70	$345.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $106.23 / $8,090.00	Facility		$70.70	$106.23	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $320.72	Facility		$300.00	$300.00	$320.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $345.00	Professional		$70.70	$70.70	$345.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $146.12	Professional		$70.70	$70.70	$146.12