Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.68 / $1,823.00 / $3,625.00	Facility		$134.68	$1,823.00	$3,625.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $179.81 / $456.30	Professional		$89.58	$179.81	$456.30
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $247.40 / $562.26 / $2,713.00	Facility		$247.40	$562.26	$2,713.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $121.76 / $257.68 / $811.68	Professional		$121.76	$257.68	$811.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $170.51 / $300.88	Facility		$131.16	$170.51	$300.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $282.13 / $449.65	Professional		$177.98	$282.13	$449.65
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 $127.35 / $229.75 / $476.34	Professional		$127.35	$229.75	$476.34
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $113.16 / $214.32 / $6,679.00	Facility		$113.16	$214.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $251.69 / $347.42	Professional		$198.81	$251.69	$347.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $287.07 / $483.82	Professional		$136.81	$287.07	$483.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $256.62 / $296.36	Professional		$127.45	$256.62	$296.36
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 $174.45 / $331.19 / $1,291.28	Professional		$174.45	$331.19	$1,291.28
Tufts Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $94.40 / $191.03	Professional		$73.09	$94.40	$191.03
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $3,445.00	Facility		$627.00	$1,818.00	$3,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $246.28 / $483.82	Professional		$133.79	$246.28	$483.82