Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $181.97 / $630.96	Facility		$79.43	$181.97	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $112.20	Professional		$13.49	$32.36	$112.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	25	$134.90	$134.90	$134.90
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $58.88	Facility		$37.15	$50.12	$58.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.05 / $40.74	Professional		$10.72	$19.05	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $107.15 / $141.25	Facility		$87.10	$107.15	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $134.90 / $199.53	Facility		$69.18	$134.90	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $42.66 / $45.71	Professional		$18.20	$42.66	$45.71
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $56.23 / $7,079.46	Facility		$19.05	$56.23	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.20 / $26.92	Professional		$9.77	$18.20	$26.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $87.10	Professional		$15.85	$18.62	$87.10
Health New England Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $165.96	Facility		$77.62	$131.83	$165.96
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $58.88	Facility		$37.15	$50.12	$58.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.05 / $39.81	Professional		$10.72	$19.05	$39.81
Tufts Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $104.71 / $489.78	Facility		$18.20	$104.71	$489.78
Tufts Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $26.30	Professional		$12.88	$18.20	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $158.49 / $269.15	Facility		$15.85	$158.49	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $85.11	Professional		$18.62	$25.12	$85.11