Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.16 / $133.90 / $1,407.56	Facility		$97.16	$133.90	$1,407.56
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $80.40 / $594.00 / $1,556.00	Facility	25	$80.40	$594.00	$1,556.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $122.18 / $191.99	Professional		$76.47	$122.18	$191.99
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $86.15 / $201.83 / $1,095.00	Facility		$86.15	$201.83	$1,095.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $123.89 / $613.55	Professional		$69.02	$123.89	$613.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $246.85 / $332.42	Facility		$96.30	$246.85	$332.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $153.62 / $194.55	Professional		$103.98	$153.62	$194.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $144.34 / $209.75	Professional		$85.78	$144.34	$209.75
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $4,618.00 / $9,239.00	Facility		$83.43	$4,618.00	$9,239.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $94.38 / $149.19	Professional		$49.01	$94.38	$149.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $179.66 / $245.12	Professional		$100.76	$179.66	$245.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $632.40 / $1,240.47	Facility		$70.20	$632.40	$1,240.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $157.15 / $302.85	Professional		$117.96	$157.15	$302.85
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $178.16 / $178.16 / $400.05	Facility		$178.16	$178.16	$400.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $140.71 / $613.55	Professional		$77.80	$140.71	$613.55
Tufts Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $1,404.86 / $2,987.29	Facility		$78.09	$1,404.86	$2,987.29
Tufts Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $98.12 / $298.70	Professional		$67.01	$98.12	$298.70
United Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $129.26 / $262.77	Professional		$77.80	$129.26	$262.77