Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $467.38	Professional		$449.41	$449.41	$467.38
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $1,380.00 / $2,709.11	Facility		$1,380.00	$1,380.00	$2,709.11
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $2,709.11	Professional		$449.41	$449.41	$2,709.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $675.24 / $8,090.00	Facility		$449.41	$675.24	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $696.39 / $696.39 / $819.28	Professional		$696.39	$696.39	$819.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $1,380.00 / $2,709.11	Facility		$1,380.00	$1,380.00	$2,709.11
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $2,709.11	Professional		$449.41	$449.41	$2,709.11
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $847.42	Professional		$449.41	$449.41	$847.42