Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $165.96 / $269.15	Facility		$147.91	$165.96	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $380.19	Professional		$104.71	$162.18	$380.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	25	$676.08	$676.08	$676.08
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $478.63	Professional		$125.89	$190.55	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $234.42 / $269.15	Facility		$199.53	$234.42	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $371.54	Professional		$144.54	$204.17	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $316.23	Professional		$91.20	$147.91	$316.23
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $181.97	Facility		$138.04	$138.04	$181.97
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $331.13	Professional		$87.10	$177.83	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $426.58	Professional		$141.25	$234.42	$426.58
Health New England Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $218.78	Facility		$134.90	$144.54	$218.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $213.80	Professional		$134.90	$144.54	$213.80
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $478.63	Professional		$125.89	$190.55	$478.63
Tufts Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Tufts Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $128.82	Professional		$89.13	$114.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $389.05	Professional		$117.49	$177.83	$389.05