Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $245.47 / $407.38	Facility		$74.13	$245.47	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $257.04	Professional		$54.95	$97.72	$257.04
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	CQ	$85.11	$85.11	$85.11
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $204.17 / $630.96	Facility		$100.00	$204.17	$630.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $269.15	Professional		$79.43	$114.82	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $281.84	Facility		$165.96	$213.80	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $295.12	Facility		$89.13	$89.13	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $239.88	Professional		$67.61	$83.18	$239.88
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $169.82 / $7,079.46	Facility		$89.13	$169.82	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $165.96	Professional		$51.29	$95.50	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $263.03	Professional		$100.00	$117.49	$263.03
Health New England Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $144.54 / $309.03	Facility		$54.95	$144.54	$309.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $177.83	Professional		$50.12	$75.86	$177.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $204.17 / $630.96	Facility		$100.00	$204.17	$630.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $269.15	Professional		$79.43	$114.82	$269.15
Tufts Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $75.86 / $436.52	Facility		$54.95	$75.86	$436.52
Tufts Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $162.18	Professional		$52.48	$74.13	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $97.72	Facility		$69.18	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $263.03	Professional		$77.62	$97.72	$263.03