Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.19 / $68.19 / $1,183.00	Facility		$68.19	$68.19	$1,183.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $75.55 / $145.24	Professional		$57.57	$75.55	$145.24
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $165.07 / $958.63 / $958.63	Facility		$165.07	$958.63	$958.63
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $122.56 / $848.55	Professional		$73.66	$122.56	$848.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.33 / $1,243.80 / $2,084.66	Facility		$1,028.33	$1,243.80	$2,084.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $129.51 / $166.53	Professional		$86.97	$129.51	$166.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.00 / $1,354.46 / $1,872.00	Facility		$355.00	$1,354.46	$1,872.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $106.65 / $200.70	Professional		$70.53	$106.65	$200.70
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $841.50 / $841.50 / $841.50	Facility		$841.50	$841.50	$841.50
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $71.28 / $126.01	Professional		$38.28	$71.28	$126.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $161.29 / $214.24	Professional		$86.02	$161.29	$214.24
Health New England Facility/Professional Facility Modifier Low / Median / High Price $60.53 / $60.53 / $60.53	Facility		$60.53	$60.53	$60.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $99.50 / $112.83 / $212.94	Professional		$99.50	$112.83	$212.94
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $165.07 / $958.63 / $958.63	Facility		$165.07	$958.63	$958.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $124.25 / $848.55	Professional		$73.66	$124.25	$848.55
Tufts Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $60.67 / $1,688.90	Facility		$55.15	$60.67	$1,688.90
Tufts Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $74.67 / $140.54	Professional		$57.91	$74.67	$140.54
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $840.00 / $900.00	Facility		$330.00	$840.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $100.79 / $195.34	Professional		$70.68	$100.79	$195.34