Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $323.59	Facility		$125.89	$204.17	$323.59
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	25	$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $457.09	Professional		$104.71	$186.21	$457.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $208.93 / $524.81	Professional	25	$123.03	$208.93	$524.81
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $831.76	Facility		$117.49	$199.53	$831.76
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $58.88 / $89.13 / $102.33	Facility	25	$58.88	$89.13	$102.33
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $489.78	Professional		$123.03	$194.98	$489.78
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $107.15 / $204.17	Professional	25	$70.79	$107.15	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $363.08	Facility		$151.36	$199.53	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $363.08	Professional		$151.36	$263.03	$363.08
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 $125.89 / $186.21 / $346.74	Professional		$125.89	$186.21	$346.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $346.74	Professional		$97.72	$186.21	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $446.68	Professional		$141.25	$245.47	$446.68
Health New England Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $190.55 / $234.42	Facility		$186.21	$190.55	$234.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $537.03	Professional		$186.21	$269.15	$537.03
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $831.76	Facility		$117.49	$199.53	$831.76
Mass General Brigham Facility/Professional Facility Modifier 25 Low / Median / High Price $58.88 / $89.13 / $102.33	Facility	25	$58.88	$89.13	$102.33
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $489.78	Professional		$123.03	$194.98	$489.78
Mass General Brigham Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $107.15 / $204.17	Professional	25	$70.79	$107.15	$204.17
Tufts Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $100.00 / $147.91	Facility		$93.33	$100.00	$147.91
Tufts Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $309.03	Professional		$117.49	$173.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $123.03 / $131.83	Facility		$69.18	$123.03	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $398.11	Professional		$117.49	$190.55	$398.11