Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $42.66 / $138.04	Facility		$14.13	$42.66	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $43.65	Professional		$8.91	$12.88	$43.65
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	CO	$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $14.45 / $29.51 / $107.15	Professional	CQ	$14.45	$29.51	$107.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $100.00	Facility		$15.85	$36.31	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $51.29	Professional		$12.88	$17.78	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $257.04	Facility		$165.96	$190.55	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $25.12	Professional		$13.49	$22.39	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $53.70 / $61.66	Facility		$13.49	$53.70	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $41.69	Professional		$12.02	$16.98	$41.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $41.69 / $7,079.46	Facility		$15.14	$41.69	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.45 / $25.12	Professional		$7.76	$14.45	$25.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $38.90	Professional		$15.14	$17.78	$38.90
Health New England Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $229.09	Facility		$45.71	$69.18	$229.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $39.81 / $58.88	Professional		$10.72	$39.81	$58.88
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $100.00	Facility		$15.85	$36.31	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $54.95	Professional		$12.88	$17.78	$54.95
Tufts Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $338.84 / $489.78	Facility		$15.14	$338.84	$489.78
Tufts Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $19.95	Professional		$14.79	$15.14	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $14.79	Facility		$14.13	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $37.15	Professional		$12.88	$16.60	$37.15