Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.53 / $189.53 / $799.00	Facility		$54.53	$189.53	$799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $42.00 / $106.80	Professional		$18.17	$42.00	$106.80
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $49.13 / $106.29	Facility		$37.52	$49.13	$106.29
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $18.80 / $39.36	Professional		$10.79	$18.80	$39.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.53 / $106.39 / $137.96	Facility		$87.53	$106.39	$137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $17.22 / $17.22	Professional		$17.22	$17.22	$17.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $167.46 / $200.50	Facility		$68.84	$167.46	$200.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $43.06 / $45.80	Professional		$18.34	$43.06	$45.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $74.12 / $6,679.00	Facility		$17.32	$74.12	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $16.55 / $23.49	Professional		$9.22	$16.55	$23.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $26.77 / $144.60	Professional		$14.97	$26.77	$144.60
Health New England Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $126.99 / $164.90	Facility		$77.73	$126.99	$164.90
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $106.29	Facility		$30.75	$30.75	$106.29
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.02 / $42.02	Professional		$16.78	$23.02	$42.02
Tufts Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $92.97 / $181.39	Facility		$19.14	$92.97	$181.39
Tufts Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $19.30 / $27.86	Professional		$14.56	$19.30	$27.86
United Facility/Professional Facility Modifier Low / Median / High Price $95.78 / $180.75 / $268.99	Facility		$95.78	$180.75	$268.99
United Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $22.56 / $40.33	Professional		$16.19	$22.56	$40.33