Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.33 / $216.51 / $344.93	Facility		$110.33	$216.51	$344.93
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $187.05 / $505.51 / $965.60	Facility	25	$187.05	$505.51	$965.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $159.24 / $382.88	Professional		$87.80	$159.24	$382.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.33 / $215.24 / $507.65	Professional	25	$117.33	$215.24	$507.65
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $705.38 / $705.38	Facility		$131.13	$705.38	$705.38
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $62.28 / $96.42 / $111.83	Facility	25	$62.28	$96.42	$111.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $315.14 / $1,127.38	Professional		$139.35	$315.14	$1,127.38
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $69.93 / $155.60 / $236.64	Professional	25	$69.93	$155.60	$236.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.54 / $214.14 / $336.19	Facility		$164.54	$214.14	$336.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $295.32 / $463.32	Professional		$195.80	$295.32	$463.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $191.66 / $225.00	Facility		$148.00	$191.66	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $224.00 / $392.49	Professional		$122.33	$224.00	$392.49
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $95.79 / $103.84 / $103.84	Facility		$95.79	$103.84	$103.84
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $167.03 / $291.23	Professional		$99.02	$167.03	$291.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $201.07 / $384.32 / $492.64	Professional		$201.07	$384.32	$492.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $203.97 / $204.29 / $241.04	Facility		$203.97	$204.29	$241.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $280.38 / $566.99	Professional		$191.56	$280.38	$566.99
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $705.38 / $705.38 / $705.38	Facility		$705.38	$705.38	$705.38
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $305.97 / $1,127.38	Professional		$140.68	$305.97	$1,127.38
Tufts Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $98.45 / $211.60	Facility		$57.17	$98.45	$211.60
Tufts Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $154.59 / $325.64	Professional		$96.60	$154.59	$325.64
United Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $215.06 / $468.33	Professional		$136.22	$215.06	$468.33