Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.43 / $988.00 / $2,900.00	Facility		$142.43	$988.00	$2,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $84.25 / $178.24	Professional		$43.56	$84.25	$178.24
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $124.92 / $355.54 / $2,713.00	Facility		$124.92	$355.54	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $106.16 / $402.72	Professional		$52.03	$106.16	$402.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.61 / $86.59 / $152.80	Facility		$66.61	$86.59	$152.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $116.30 / $170.20	Professional		$79.33	$116.30	$170.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $102.09 / $211.61	Professional		$62.85	$102.09	$211.61
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $168.26 / $6,679.00	Facility		$66.25	$168.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $96.68 / $133.46	Professional		$76.31	$96.68	$133.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $140.11 / $195.65	Professional		$67.98	$140.11	$195.65
Health New England Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $213.11 / $242.54	Facility		$159.19	$213.11	$242.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $109.82 / $219.64	Professional		$46.58	$109.82	$219.64
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $966.90 / $3,445.00	Facility		$55.00	$966.90	$3,445.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $126.89 / $495.76	Professional		$71.29	$126.89	$495.76
Tufts Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $123.36 / $330.36	Facility		$42.30	$123.36	$330.36
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $57.23 / $116.30	Professional		$25.42	$57.23	$116.30
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $96.49 / $187.77	Professional		$61.50	$96.49	$187.77