Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $115.60	Professional		$111.15	$111.15	$115.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $362.57 / $1,606.18	Facility		$111.15	$362.57	$1,606.18
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $1,606.18	Professional		$111.15	$111.15	$1,606.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $167.00 / $8,090.00	Facility		$111.15	$167.00	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $479.82 / $479.82 / $564.50	Professional		$479.82	$479.82	$564.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $474.00 / $1,606.18	Facility		$474.00	$474.00	$1,606.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $1,606.18	Professional		$111.15	$111.15	$1,606.18
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $270.08	Professional		$111.15	$111.15	$270.08