Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $295.12 / $416.87	Facility		$141.25	$295.12	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $478.63	Professional		$141.25	$158.49	$478.63
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $436.52 / $676.08	Facility		$158.49	$436.52	$676.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $416.87	Professional		$131.83	$169.82	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $257.04	Facility		$141.25	$177.83	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $229.09	Facility		$95.50	$107.15	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $275.42	Professional		$85.11	$144.54	$275.42
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $7,079.46	Facility		$141.25	$288.40	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $295.12	Professional		$158.49	$199.53	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $309.03	Professional		$141.25	$141.25	$309.03
Health New England Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $269.15	Facility		$141.25	$173.78	$269.15
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $436.52 / $676.08	Facility		$158.49	$436.52	$676.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $549.54	Professional		$131.83	$169.82	$549.54
Tufts Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $323.59	Facility		$141.25	$169.82	$323.59
Tufts Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $218.78	Professional		$162.18	$218.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $169.82	Facility		$128.82	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $309.03	Professional		$123.03	$147.91	$309.03