Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $197.78 / $233.63	Facility		$74.61	$197.78	$233.63
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $303.87 / $303.87 / $303.87	Facility	25	$303.87	$303.87	$303.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $76.20 / $167.84	Professional		$43.40	$76.20	$167.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.14 / $116.56 / $202.15	Professional	25	$66.14	$116.56	$202.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $229.71 / $229.71	Facility		$45.14	$229.71	$229.71
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $22.88 / $31.61 / $36.67	Facility	25	$22.88	$31.61	$36.67
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $124.12 / $456.37	Professional		$63.38	$124.12	$456.37
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $28.84 / $52.81 / $96.01	Professional	25	$28.84	$52.81	$96.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $86.36 / $152.53	Facility		$53.59	$86.36	$152.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $83.86 / $122.01	Professional		$60.29	$83.86	$122.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $191.66 / $225.00	Facility		$62.64	$191.66	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $94.25 / $159.51	Professional		$53.63	$94.25	$159.51
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $46.06 / $54.19 / $54.19	Facility		$46.06	$54.19	$54.19
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $73.65 / $129.75	Professional		$41.43	$73.65	$129.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $127.81 / $220.34	Professional		$74.00	$127.81	$220.34
Health New England Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $224.15 / $232.21	Facility		$87.90	$224.15	$232.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $117.25 / $213.47	Professional		$83.96	$117.25	$213.47
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $229.71 / $229.71 / $229.71	Facility		$229.71	$229.71	$229.71
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $147.01 / $456.37	Professional		$73.23	$147.01	$456.37
Tufts Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $41.14 / $85.01	Facility		$36.95	$41.14	$85.01
Tufts Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $77.63 / $139.72	Professional		$59.61	$77.63	$139.72
United Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $103.40 / $204.19	Professional		$67.37	$103.40	$204.19