Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.24 / $1,886.00 / $3,625.00	Facility		$111.24	$1,886.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $149.46 / $363.12	Professional		$75.04	$149.46	$363.12
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $194.68 / $449.45 / $2,713.00	Facility		$194.68	$449.45	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $211.71 / $644.55	Professional		$96.79	$211.71	$644.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $136.32 / $240.55	Facility		$104.86	$136.32	$240.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.30 / $228.98 / $376.51	Professional		$142.30	$228.98	$376.51
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 $101.63 / $190.27 / $396.91	Professional		$101.63	$190.27	$396.91
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $191.20 / $6,679.00	Facility		$90.21	$191.20	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $165.98 / $210.29 / $290.91	Professional		$165.98	$210.29	$290.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $230.97 / $404.64	Professional		$108.95	$230.97	$404.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $240.71 / $290.00	Professional		$185.45	$240.71	$290.00
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 $138.11 / $273.44 / $1,074.00	Professional		$138.11	$273.44	$1,074.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $157.83 / $319.69	Professional		$121.07	$157.83	$319.69
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 $115.64 / $210.43 / $452.89	Professional		$115.64	$210.43	$452.89