Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $95.26 / $326.32	Facility		$41.90	$95.26	$326.32
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $162.94 / $162.94 / $162.94	Facility	CO	$162.94	$162.94	$162.94
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $38.95 / $77.90 / $157.21	Facility	CQ	$38.95	$77.90	$157.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $24.22 / $86.86	Professional		$12.48	$24.22	$86.86
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $50.53 / $50.53 / $53.87	Professional	CQ	$50.53	$50.53	$53.87
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $65.28 / $152.00	Facility		$32.64	$65.28	$152.00
AllWays Health Partners Facility/Professional Facility Modifier CO Low / Median / High Price $56.39 / $129.19 / $129.19	Facility	CO	$56.39	$129.19	$129.19
AllWays Health Partners Facility/Professional Facility Modifier CQ Low / Median / High Price $56.39 / $129.19 / $129.19	Facility	CQ	$56.39	$129.19	$129.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $34.79 / $81.69	Professional		$26.69	$34.79	$81.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.28 / $188.76 / $243.78	Facility		$160.28	$188.76	$243.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $45.67 / $51.85	Professional		$33.02	$45.67	$51.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $83.47 / $94.35	Facility		$20.30	$83.47	$94.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $68.36 / $113.94	Professional		$29.09	$68.36	$113.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $47.12 / $6,679.00	Facility		$29.82	$47.12	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $27.58 / $47.71	Professional		$16.48	$27.58	$47.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $58.79 / $87.69	Professional		$30.98	$58.79	$87.69
Health New England Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $82.21 / $266.91	Facility		$55.00	$82.21	$266.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $52.69 / $136.32	Professional		$40.00	$52.69	$136.32
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $152.00 / $152.00	Facility		$100.00	$152.00	$152.00
Mass General Brigham Facility/Professional Facility Modifier CO Low / Median / High Price $56.39 / $129.19 / $129.19	Facility	CO	$56.39	$129.19	$129.19
Mass General Brigham Facility/Professional Facility Modifier CQ Low / Median / High Price $56.39 / $129.19 / $129.19	Facility	CQ	$56.39	$129.19	$129.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $33.95 / $186.26	Professional		$26.69	$33.95	$186.26
Tufts Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $28.89 / $76.54	Facility		$22.51	$28.89	$76.54
Tufts Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $27.01 / $54.89	Professional		$17.23	$27.01	$54.89
United Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $32.11 / $64.22	Professional		$26.69	$32.11	$64.22