Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $85.39 / $243.03	Facility		$46.67	$85.39	$243.03
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $163.07 / $163.07 / $209.04	Facility	CO	$163.07	$163.07	$209.04
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $137.94 / $323.00 / $323.00	Facility	CQ	$137.94	$323.00	$323.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $25.19 / $55.37	Professional		$14.98	$25.19	$55.37
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $79.31 / $170.34	Facility		$32.38	$79.31	$170.34
AllWays Health Partners Facility/Professional Facility Modifier CO Low / Median / High Price $61.71 / $144.79 / $144.79	Facility	CO	$61.71	$144.79	$144.79
AllWays Health Partners Facility/Professional Facility Modifier CQ Low / Median / High Price $61.71 / $144.79 / $144.79	Facility	CQ	$61.71	$144.79	$144.79
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $39.08 / $91.67	Professional		$29.76	$39.08	$91.67
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 $8.77 / $53.81 / $75.44	Professional		$8.77	$53.81	$75.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $88.00 / $107.98	Facility		$23.25	$88.00	$107.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $70.00 / $114.34	Professional		$32.75	$70.00	$114.34
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $53.00 / $6,679.00	Facility		$33.25	$53.00	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $31.66 / $53.83	Professional		$19.07	$31.66	$53.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $65.41 / $97.64	Professional		$34.47	$65.41	$97.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $75.00 / $161.47	Facility		$55.00	$75.00	$161.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $55.00 / $101.87	Professional		$24.58	$55.00	$101.87
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $170.34 / $170.34	Facility		$80.00	$170.34	$170.34
Mass General Brigham Facility/Professional Facility Modifier CO Low / Median / High Price $61.71 / $144.79 / $144.79	Facility	CO	$61.71	$144.79	$144.79
Mass General Brigham Facility/Professional Facility Modifier CQ Low / Median / High Price $61.71 / $144.79 / $144.79	Facility	CQ	$61.71	$144.79	$144.79
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $38.10 / $207.96	Professional		$29.76	$38.10	$207.96
Tufts Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $32.47 / $86.03	Facility		$24.74	$32.47	$86.03
Tufts Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $29.68 / $54.95	Professional		$16.50	$29.68	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $36.50 / $67.73	Professional		$29.76	$36.50	$67.73