Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $161.85 / $211.88	Facility		$44.03	$161.85	$211.88
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $185.10 / $185.10 / $275.64	Facility	25	$185.10	$185.10	$275.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $50.87 / $116.85	Professional		$25.91	$50.87	$116.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $29.57 / $63.52 / $145.07	Professional	25	$29.57	$63.52	$145.07
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $172.43 / $172.43	Facility		$31.98	$172.43	$172.43
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $15.41 / $23.51 / $27.27	Facility	25	$15.41	$23.51	$27.27
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $107.77 / $107.77 / $107.77	Facility	62	$107.77	$107.77	$107.77
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $17.23 / $17.23 / $17.23	Facility	AS	$17.23	$17.23	$17.23
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $89.34 / $354.09	Professional		$42.98	$89.34	$354.09
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $19.43 / $40.90 / $75.42	Professional	25	$19.43	$40.90	$75.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $62.89 / $77.34	Facility		$40.21	$62.89	$77.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $83.50 / $135.35	Professional		$51.31	$83.50	$135.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $191.66 / $225.00	Facility		$46.99	$191.66	$225.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $29.37 / $29.37 / $29.37	Facility	62	$29.37	$29.37	$29.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $4.70 / $4.70	Facility	AS	$4.70	$4.70	$4.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $64.92 / $123.85	Professional		$34.15	$64.92	$123.85
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $31.87 / $31.87	Facility		$29.05	$31.87	$31.87
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $52.65 / $93.30	Professional		$30.91	$52.65	$93.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $96.12 / $154.22	Professional		$58.16	$96.12	$154.22
Health New England Facility/Professional Facility Modifier Low / Median / High Price $59.62 / $71.14 / $173.71	Facility		$59.62	$71.14	$173.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $83.83 / $179.97	Professional		$54.78	$83.83	$179.97
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $172.43 / $172.43 / $172.43	Facility		$172.43	$172.43	$172.43
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $107.77 / $107.77 / $107.77	Facility	62	$107.77	$107.77	$107.77
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $17.23 / $17.23 / $17.23	Facility	AS	$17.23	$17.23	$17.23
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $99.11 / $354.09	Professional		$44.88	$99.11	$354.09
Tufts Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $28.72 / $70.19	Facility		$19.41	$28.72	$70.19
Tufts Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $49.74 / $109.51	Professional		$28.81	$49.74	$109.51
United Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $67.27 / $148.44	Professional		$43.13	$67.27	$148.44