Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.17 / $209.55 / $271.05	Facility		$107.17	$209.55	$271.05
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $241.13 / $241.13 / $254.25	Facility	25	$241.13	$241.13	$254.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $114.87 / $262.55	Professional		$66.27	$114.87	$262.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $82.42 / $140.19 / $318.02	Professional	25	$82.42	$140.19	$318.02
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $74.25 / $399.71 / $399.71	Facility		$74.25	$399.71	$399.71
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $35.88 / $54.59 / $63.32	Facility	25	$35.88	$54.59	$63.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $199.90 / $699.27	Professional		$98.36	$199.90	$699.27
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $45.08 / $89.56 / $146.77	Professional	25	$45.08	$89.56	$146.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.53 / $133.34 / $228.78	Facility		$93.53	$133.34	$228.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $167.88 / $275.37	Professional		$118.13	$167.88	$275.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $191.66 / $225.00	Facility		$109.51	$191.66	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $145.90 / $243.63	Professional		$85.00	$145.90	$243.63
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $66.25 / $77.94 / $77.94	Facility		$66.25	$77.94	$77.94
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $61.89 / $106.38 / $193.42	Professional		$61.89	$106.38	$193.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $222.28 / $343.80	Professional		$118.07	$222.28	$343.80
Health New England Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $324.66 / $353.16	Facility		$82.42	$324.66	$353.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $180.00 / $353.16	Professional		$136.69	$180.00	$353.16
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $399.71 / $399.71 / $399.71	Facility		$399.71	$399.71	$399.71
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $207.86 / $699.27	Professional		$106.99	$207.86	$699.27
Tufts Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $60.79 / $130.60	Facility		$54.81	$60.79	$130.60
Tufts Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $105.53 / $211.83	Professional		$66.87	$105.53	$211.83
United Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $162.41 / $324.48	Professional		$99.71	$162.41	$324.48