Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $89.39 / $270.00	Facility		$43.59	$89.39	$270.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $93.53 / $145.69 / $145.69	Facility	CQ	$93.53	$145.69	$145.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $24.87 / $54.62	Professional		$14.98	$24.87	$54.62
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $75.12 / $169.15	Facility		$37.56	$75.12	$169.15
AllWays Health Partners Facility/Professional Facility Modifier CQ Low / Median / High Price $62.75 / $143.78 / $143.78	Facility	CQ	$62.75	$143.78	$143.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $40.10 / $94.00	Professional		$29.62	$40.10	$94.00
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 $31.47 / $50.82 / $56.30	Professional		$31.47	$50.82	$56.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $87.80 / $99.27	Facility		$21.37	$87.80	$99.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $70.59 / $113.98	Professional		$32.09	$70.59	$113.98
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $52.42 / $6,679.00	Facility		$33.18	$52.42	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $31.44 / $53.45	Professional		$19.04	$31.44	$53.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $65.41 / $100.63	Professional		$34.47	$65.41	$100.63
Health New England Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $82.21 / $181.99	Facility		$55.00	$82.21	$181.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $52.43 / $104.86	Professional		$26.02	$52.43	$104.86
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $169.15 / $169.15	Facility		$80.00	$169.15	$169.15
Mass General Brigham Facility/Professional Facility Modifier CQ Low / Median / High Price $62.75 / $143.78 / $143.78	Facility	CQ	$62.75	$143.78	$143.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $38.33 / $216.50	Professional		$30.68	$38.33	$216.50
Tufts Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $33.67 / $89.21	Facility		$23.62	$33.67	$89.21
Tufts Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $28.41 / $57.60	Professional		$16.92	$28.41	$57.60
United Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $36.09 / $68.00	Professional		$29.45	$36.09	$68.00