PageSpeed Insights lab scores come from a single synthetic test on a fixed device profile, so they're easy to chase and not always meaningful. The field data (CrUX, the last 28 days of real Chrome users) is what Google uses for the page experience signal. If a page scores 45 in the lab but its field LCP already passes, I'd leave the lab number alone and focus on the URLs where field data fails. That's usually a few templates with heavy hero images or a slow third-party script.
The counterargument is fair, though. Lab tests catch regressions before real users feel them, and low-traffic pages often have no field data at all, so CrUX can't help you there. It depends a lot on volume. What do you prioritize when a page has no field data?