Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $108.71 / $127.91	Facility		$81.59	$108.71	$127.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $92.87 / $203.28	Professional		$69.65	$92.87	$203.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $267.00 / $267.00 / $267.00	Professional	25	$267.00	$267.00	$267.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $454.43 / $454.43 / $454.43	Facility		$454.43	$454.43	$454.43
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $135.18 / $588.02	Professional		$82.48	$135.18	$588.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $170.91 / $268.82	Facility		$135.97	$170.91	$268.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $175.02 / $259.20	Professional		$112.18	$175.02	$259.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $97.00 / $235.62	Professional		$68.00	$97.00	$235.62
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $117.25 / $123.09	Facility		$95.46	$117.25	$123.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $92.32 / $95.46 / $123.09	Professional		$92.32	$95.46	$123.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $198.36 / $283.60	Professional		$95.68	$198.36	$283.60
Health New England Facility/Professional Facility Modifier Low / Median / High Price $88.58 / $91.67 / $239.09	Facility		$88.58	$91.67	$239.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $91.67 / $126.17	Professional		$88.58	$91.67	$126.17
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $454.43 / $454.43 / $454.43	Facility		$454.43	$454.43	$454.43
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $121.32 / $652.54	Professional		$80.88	$121.32	$652.54
Tufts Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $67.28 / $142.44	Facility		$55.89	$67.28	$142.44
Tufts Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $98.44 / $179.83	Professional		$65.04	$98.44	$179.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $111.91 / $265.45	Professional		$77.38	$111.91	$265.45