Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.73 / $186.68 / $254.25	Facility		$97.73	$186.68	$254.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $116.72 / $288.63 / $900.34	Facility	25	$116.72	$288.63	$900.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $120.82 / $284.80	Professional		$60.41	$120.82	$284.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.97 / $132.58 / $326.81	Professional	25	$61.97	$132.58	$326.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $287.60 / $287.60 / $287.60	Professional	50	$287.60	$287.60	$287.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $88.26 / $475.57 / $475.57	Facility		$88.26	$475.57	$475.57
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $42.37 / $64.89 / $75.27	Facility	25	$42.37	$64.89	$75.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $216.49 / $801.06	Professional		$100.22	$216.49	$801.06
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $51.18 / $106.46 / $168.72	Professional	25	$51.18	$106.46	$168.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $153.03 / $238.48	Facility		$110.99	$153.03	$238.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $214.95 / $338.07	Professional		$133.19	$214.95	$338.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.72 / $191.66 / $225.00	Facility		$129.72	$191.66	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $160.03 / $279.61	Professional		$83.48	$160.03	$279.61
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $77.45 / $77.45	Facility		$71.06	$77.45	$77.45
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $122.10 / $215.37	Professional		$69.65	$122.10	$215.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $262.98 / $351.12	Professional		$138.97	$262.98	$351.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $137.22 / $311.57 / $403.47	Facility		$137.22	$311.57	$403.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $198.68 / $403.47	Professional		$121.00	$198.68	$403.47
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $475.57 / $475.57 / $475.57	Facility		$475.57	$475.57	$475.57
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $102.83 / $218.85 / $801.06	Professional		$102.83	$218.85	$801.06
Tufts Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $69.93 / $158.32	Facility		$41.14	$69.93	$158.32
Tufts Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $112.72 / $228.85	Professional		$67.59	$112.72	$228.85
United Facility/Professional Professional Modifier Low / Median / High Price $90.22 / $153.08 / $326.02	Professional		$90.22	$153.08	$326.02