Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $113.81	Professional		$109.44	$109.44	$113.81
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $1,417.80 / $1,668.00	Facility		$1,417.80	$1,417.80	$1,668.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $1,884.84	Professional		$109.44	$109.44	$1,884.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $164.43 / $8,090.00	Facility		$109.44	$164.43	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $297.79 / $297.79 / $350.34	Professional		$297.79	$297.79	$350.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,417.80 / $1,417.80 / $1,668.00	Facility		$1,417.80	$1,417.80	$1,668.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $1,884.84	Professional		$109.44	$109.44	$1,884.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $226.19	Professional		$109.44	$109.44	$226.19