Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $89.28 / $172.13	Facility		$13.10	$89.28	$172.13
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $113.54 / $152.47 / $184.80	Facility	25	$113.54	$152.47	$184.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $21.40 / $50.92	Professional		$8.11	$21.40	$50.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.26 / $53.46 / $84.55	Professional	25	$26.26	$53.46	$84.55
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $42.70 / $42.70	Facility		$8.33	$42.70	$42.70
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $4.19 / $5.83 / $6.76	Facility	25	$4.19	$5.83	$6.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $37.60 / $489.00	Professional		$18.35	$37.60	$489.00
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $5.37 / $13.58 / $30.98	Professional	25	$5.37	$13.58	$30.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $22.90 / $28.79	Facility		$9.94	$22.90	$28.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $23.24 / $40.69	Professional		$11.42	$23.24	$40.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $191.66 / $225.00	Facility		$11.66	$191.66	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $25.07 / $51.79	Professional		$10.60	$25.07	$51.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $15.41 / $15.60	Facility		$15.41	$15.41	$15.60
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $24.86 / $42.87	Professional		$13.59	$24.86	$42.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $27.85 / $63.65	Professional		$15.31	$27.85	$63.65
Health New England Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $26.73 / $34.02	Facility		$26.73	$26.73	$34.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $37.61 / $76.44	Professional		$21.10	$37.61	$76.44
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $42.70 / $42.70	Facility		$42.70	$42.70	$42.70
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $45.06 / $489.00	Professional		$23.67	$45.06	$489.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $16.77 / $50.71	Facility		$6.77	$16.77	$50.71
Tufts Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $20.87 / $45.42	Professional		$8.83	$20.87	$45.42
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $32.26 / $63.12	Professional		$23.12	$32.26	$63.12