Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $186.68 / $254.25	Facility		$70.00	$186.68	$254.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $144.28 / $226.88 / $329.15	Facility	25	$144.28	$226.88	$329.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $84.50 / $191.35	Professional		$45.17	$84.50	$191.35
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $49.97 / $92.32 / $214.14	Professional	25	$49.97	$92.32	$214.14
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $323.29 / $323.29	Facility		$59.82	$323.29	$323.29
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $28.66 / $43.99 / $51.02	Facility	25	$28.66	$43.99	$51.02
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $202.06 / $202.06 / $202.06	Facility	62	$202.06	$202.06	$202.06
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $32.33 / $32.33 / $32.33	Facility	AS	$32.33	$32.33	$32.33
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $151.59 / $567.54	Professional		$68.11	$151.59	$567.54
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $34.06 / $72.16 / $120.00	Professional	25	$34.06	$72.16	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $109.18 / $154.66	Facility		$75.44	$109.18	$154.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $141.47 / $225.47	Professional		$83.56	$141.47	$225.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $191.66 / $225.00	Facility		$88.08	$191.66	$225.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	62	$55.05	$55.05	$55.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.81 / $8.81 / $8.81	Facility	AS	$8.81	$8.81	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $108.45 / $196.92	Professional		$56.17	$108.45	$196.92
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $52.37 / $52.37	Facility		$44.51	$52.37	$52.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $87.10 / $150.38	Professional		$50.65	$87.10	$150.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $178.73 / $249.50	Professional		$95.74	$178.73	$249.50
Health New England Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $263.29 / $286.39	Facility		$96.66	$263.29	$286.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $138.00 / $263.29	Professional		$90.71	$138.00	$263.29
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $323.29 / $323.29 / $323.29	Facility		$323.29	$323.29	$323.29
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $202.06 / $202.06 / $202.06	Facility	62	$202.06	$202.06	$202.06
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $32.33 / $32.33 / $32.33	Facility	AS	$32.33	$32.33	$32.33
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $154.86 / $567.54	Professional		$69.13	$154.86	$567.54
Tufts Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $49.50 / $112.36	Facility		$36.21	$49.50	$112.36
Tufts Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $76.41 / $155.61	Professional		$45.52	$76.41	$155.61
United Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $112.05 / $224.86	Professional		$60.82	$112.05	$224.86