Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $97.72 / $316.23	Facility		$40.74	$97.72	$316.23
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $162.18 / $162.18 / $208.93	Facility	CO	$162.18	$162.18	$208.93
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $77.62 / $138.04 / $323.59	Facility	CQ	$77.62	$138.04	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $177.83	Professional		$19.05	$30.20	$177.83
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CO	$27.54	$27.54	$27.54
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $20.42 / $69.18 / $81.28	Professional	CQ	$20.42	$69.18	$81.28
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $87.10 / $208.93	Facility		$36.31	$87.10	$208.93
AllWays Health Partners Facility/Professional Facility Modifier CO Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	CO	$177.83	$177.83	$177.83
AllWays Health Partners Facility/Professional Facility Modifier CQ Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	CQ	$177.83	$177.83	$177.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $97.72	Professional		$28.84	$38.90	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $257.04	Facility		$165.96	$190.55	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $75.86	Professional		$53.70	$53.70	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $89.13 / $107.15	Facility		$23.44	$89.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $95.50	Professional		$23.44	$36.31	$95.50
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $72.44 / $7,079.46	Facility		$33.11	$72.44	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.62 / $56.23	Professional		$16.98	$31.62	$56.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $85.11	Professional		$33.11	$38.90	$85.11
Health New England Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $151.36	Facility		$54.95	$69.18	$151.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $102.33	Professional		$31.62	$58.88	$102.33
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $87.10 / $208.93	Facility		$36.31	$87.10	$208.93
Mass General Brigham Facility/Professional Facility Modifier CO Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	CO	$177.83	$177.83	$177.83
Mass General Brigham Facility/Professional Facility Modifier CQ Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	CQ	$177.83	$177.83	$177.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $97.72	Professional		$28.84	$38.90	$97.72
Tufts Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $407.38	Facility		$24.55	$25.12	$407.38
Tufts Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $46.77	Professional		$15.14	$25.12	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $32.36 / $32.36	Facility		$23.99	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $85.11	Professional		$28.18	$38.02	$85.11