Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $446.68	Facility		$162.18	$257.04	$446.68
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	25	$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $645.65	Professional		$141.25	$239.88	$645.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $173.78 / $338.84 / $741.31	Professional	25	$173.78	$338.84	$741.31
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $269.15 / $1,122.02	Facility		$158.49	$269.15	$1,122.02
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $79.43 / $120.23 / $141.25	Facility	25	$79.43	$120.23	$141.25
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $645.65	Professional		$158.49	$251.19	$645.65
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $91.20 / $144.54 / $275.42	Professional	25	$91.20	$144.54	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $478.63	Facility		$208.93	$269.15	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $478.63	Professional		$208.93	$354.81	$478.63
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 $165.96 / $245.47 / $446.68	Professional		$165.96	$245.47	$446.68
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $457.09	Professional		$120.23	$234.42	$457.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $588.84	Professional		$190.55	$331.13	$588.84
Health New England Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $251.19 / $660.69	Facility		$245.47	$251.19	$660.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $1,230.27	Professional		$234.42	$346.74	$1,230.27
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $269.15 / $1,122.02	Facility		$158.49	$269.15	$1,122.02
Mass General Brigham Facility/Professional Facility Modifier 25 Low / Median / High Price $79.43 / $120.23 / $141.25	Facility	25	$79.43	$120.23	$141.25
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $660.69	Professional		$158.49	$251.19	$660.69
Mass General Brigham Facility/Professional Professional Modifier 25 Low / Median / High Price $91.20 / $144.54 / $275.42	Professional	25	$91.20	$144.54	$275.42
Tufts Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $426.58	Professional		$131.83	$208.93	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $169.82	Facility		$154.88	$154.88	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $524.81	Professional		$154.88	$245.47	$524.81