Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $91.50	Professional		$87.98	$87.98	$91.50
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $117.03 / $420.08	Facility		$117.03	$117.03	$420.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $450.24	Professional		$87.98	$87.98	$450.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $132.19 / $8,090.00	Facility		$87.98	$132.19	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $136.76 / $160.90	Professional		$136.76	$136.76	$160.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $117.03 / $420.08	Facility		$117.03	$117.03	$420.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $450.24	Professional		$87.98	$87.98	$450.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $87.98 / $145.52	Professional		$77.42	$87.98	$145.52