Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $245.47	Facility		$74.13	$138.04	$245.47
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $194.98 / $239.88 / $257.04	Facility	25	$194.98	$239.88	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $316.23	Professional		$67.61	$120.23	$316.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $131.83 / $323.59	Professional	25	$72.44	$131.83	$323.59
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $512.86	Facility		$72.44	$120.23	$512.86
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $35.48 / $54.95 / $63.10	Facility	25	$35.48	$54.95	$63.10
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $331.13	Professional		$77.62	$125.89	$331.13
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $67.61 / $134.90	Professional	25	$44.67	$67.61	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $234.42	Facility		$93.33	$134.90	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $245.47	Professional		$93.33	$162.18	$245.47
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 $81.28 / $125.89 / $223.87	Professional		$81.28	$125.89	$223.87
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $229.09	Professional		$60.26	$117.49	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $295.12	Professional		$85.11	$158.49	$295.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $323.59	Facility		$120.23	$125.89	$323.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $363.08	Professional		$120.23	$173.78	$363.08
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $120.23 / $512.86	Facility		$72.44	$120.23	$512.86
Mass General Brigham Facility/Professional Facility Modifier 25 Low / Median / High Price $35.48 / $54.95 / $63.10	Facility	25	$35.48	$54.95	$63.10
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $338.84	Professional		$77.62	$125.89	$338.84
Mass General Brigham Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $67.61 / $134.90	Professional	25	$44.67	$67.61	$134.90
Tufts Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $66.07	Facility		$54.95	$66.07	$66.07
Tufts Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $223.87	Professional		$77.62	$117.49	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $93.33	Facility		$69.18	$87.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $263.03	Professional		$72.44	$123.03	$263.03