Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $213.80	Professional		$43.65	$85.11	$213.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.61 / $125.89 / $229.09	Professional	25	$67.61	$125.89	$229.09
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $316.23	Facility		$37.15	$56.23	$316.23
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $251.19	Professional		$44.67	$95.50	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $190.55	Professional		$57.54	$107.15	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $218.78	Professional		$40.74	$91.20	$218.78
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $151.36	Professional		$51.29	$79.43	$151.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $239.88	Professional		$45.71	$104.71	$239.88
Health New England Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $169.82	Professional		$53.70	$67.61	$169.82
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $316.23	Facility		$37.15	$56.23	$316.23
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $251.19	Professional		$44.67	$95.50	$251.19
Tufts Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $169.82	Professional		$44.67	$72.44	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $186.21	Professional		$37.15	$74.13	$186.21