Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $160.78 / $375.00	Professional		$84.39	$160.78	$375.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $146.46 / $211.02 / $390.83	Professional	25	$146.46	$211.02	$390.83
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $105.50 / $150.72	Facility		$69.73	$105.50	$150.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $214.41 / $592.72	Professional		$103.77	$214.41	$592.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $196.06 / $318.16	Professional		$136.04	$196.06	$318.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $156.88 / $361.14	Professional		$75.63	$156.88	$361.14
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $142.22 / $241.78	Professional		$85.36	$142.22	$241.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $233.29 / $399.70	Professional		$113.05	$233.29	$399.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $135.91 / $465.11	Professional		$106.13	$135.91	$465.11
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $460.75 / $460.75 / $460.75	Facility		$460.75	$460.75	$460.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $209.76 / $944.28	Professional		$100.36	$209.76	$944.28
Tufts Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $125.92 / $266.82	Professional		$78.18	$125.92	$266.82
United Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $171.53 / $354.52	Professional		$88.65	$171.53	$354.52