Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $100.00 / $229.09	Facility		$47.86	$100.00	$229.09
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	25	$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $199.53	Professional		$43.65	$81.28	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.54 / $107.15 / $251.19	Professional	25	$57.54	$107.15	$251.19
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $302.00	Facility		$42.66	$70.79	$302.00
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $22.91 / $31.62 / $36.31	Facility	25	$22.91	$31.62	$36.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $229.09	Professional		$50.12	$85.11	$229.09
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $26.92 / $43.65 / $87.10	Professional	25	$26.92	$43.65	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $87.10 / $154.88	Facility		$53.70	$87.10	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $158.49	Professional		$53.70	$93.33	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $190.55 / $263.03	Facility		$147.91	$190.55	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $151.36	Professional		$50.12	$81.28	$151.36
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $147.91	Professional		$41.69	$79.43	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $186.21	Professional		$51.29	$95.50	$186.21
Health New England Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $100.00 / $234.42	Facility		$72.44	$100.00	$234.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $218.78	Professional		$63.10	$114.82	$218.78
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $302.00	Facility		$42.66	$70.79	$302.00
Mass General Brigham Facility/Professional Facility Modifier 25 Low / Median / High Price $22.91 / $31.62 / $36.31	Facility	25	$22.91	$31.62	$36.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $229.09	Professional		$50.12	$85.11	$229.09
Mass General Brigham Facility/Professional Professional Modifier 25 Low / Median / High Price $26.92 / $43.65 / $87.10	Professional	25	$26.92	$43.65	$87.10
Tufts Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $44.67 / $45.71	Facility		$36.31	$44.67	$45.71
Tufts Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $144.54	Professional		$67.61	$117.49	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $63.10	Facility		$48.98	$57.54	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $173.78	Professional		$48.98	$81.28	$173.78