Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $82.50 / $258.20	Facility		$33.22	$82.50	$258.20
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $31.33 / $84.89 / $243.00	Facility	CQ	$31.33	$84.89	$243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $22.28 / $77.95	Professional		$13.00	$22.28	$77.95
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $37.65 / $37.65 / $89.00	Professional	CQ	$37.65	$37.65	$89.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $59.92 / $143.31	Facility		$29.96	$59.92	$143.31
AllWays Health Partners Facility/Professional Facility Modifier CQ Low / Median / High Price $53.31 / $121.81 / $121.81	Facility	CQ	$53.31	$121.81	$121.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $31.89 / $82.83	Professional		$24.42	$31.89	$82.83
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 $31.13 / $43.86 / $55.36	Professional		$31.13	$43.86	$55.36
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $13.33 / $13.86 / $22.94	Professional	52	$13.33	$13.86	$22.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $77.89 / $90.00	Facility		$18.96	$77.89	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $68.36 / $113.01	Professional		$28.00	$68.36	$113.01
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $45.41 / $6,679.00	Facility		$28.13	$45.41	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $26.64 / $45.28	Professional		$16.14	$26.64	$45.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $55.50 / $80.70	Professional		$29.25	$55.50	$80.70
Health New England Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $80.17 / $186.06	Facility		$49.89	$80.17	$186.06
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $50.05 / $125.84	Professional		$20.18	$50.05	$125.84
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $143.31 / $143.31	Facility		$80.00	$143.31	$143.31
Mass General Brigham Facility/Professional Facility Modifier CQ Low / Median / High Price $53.31 / $121.81 / $121.81	Facility	CQ	$53.31	$121.81	$121.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $31.16 / $171.17	Professional		$24.54	$31.16	$171.17
Tufts Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $26.47 / $70.14	Facility		$21.19	$26.47	$70.14
Tufts Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $25.42 / $51.67	Professional		$16.92	$25.42	$51.67
United Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $30.00 / $60.54	Professional		$24.54	$30.00	$60.54