Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.59 / $337.91 / $534.83	Facility		$202.59	$337.91	$534.83
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $413.41 / $413.41 / $413.41	Facility	25	$413.41	$413.41	$413.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $221.45 / $523.17	Professional		$140.94	$221.45	$523.17
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $205.58 / $353.11 / $720.31	Professional	25	$205.58	$353.11	$720.31
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $164.71 / $888.06 / $888.06	Facility		$164.71	$888.06	$888.06
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $78.59 / $121.11 / $140.47	Facility	25	$78.59	$121.11	$140.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $183.38 / $399.94 / $1,377.15	Professional		$183.38	$399.94	$1,377.15
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $89.62 / $195.45 / $287.81	Professional	25	$89.62	$195.45	$287.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.70 / $263.57 / $505.44	Facility		$207.70	$263.57	$505.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.98 / $372.80 / $578.39	Professional		$246.98	$372.80	$578.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $191.66 / $242.44	Facility		$148.00	$191.66	$242.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.27 / $298.94 / $514.08	Professional		$174.27	$298.94	$514.08
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $125.38 / $147.51 / $147.51	Facility		$125.38	$147.51	$147.51
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $204.97 / $379.79	Professional		$122.11	$204.97	$379.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $246.99 / $483.83 / $687.64	Professional		$246.99	$483.83	$687.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $203.39 / $666.84 / $690.84	Facility		$203.39	$666.84	$690.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $246.99 / $375.57 / $690.84	Professional		$246.99	$375.57	$690.84
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $888.06 / $888.06 / $888.06	Facility		$888.06	$888.06	$888.06
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $402.11 / $1,377.15	Professional		$199.75	$402.11	$1,377.15
Tufts Facility/Professional Facility Modifier Low / Median / High Price $119.09 / $143.13 / $257.38	Facility		$119.09	$143.13	$257.38
Tufts Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $210.08 / $414.22	Professional		$143.13	$210.08	$414.22
United Facility/Professional Professional Modifier Low / Median / High Price $187.29 / $288.67 / $542.66	Professional		$187.29	$288.67	$542.66
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00