Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $54.06 / $84.00	Facility		$37.53	$54.06	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $56.76 / $98.36	Professional		$34.29	$56.76	$98.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $53.40 / $97.37 / $122.15	Professional	25	$53.40	$97.37	$122.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $86.15 / $138.00 / $650.00	Facility		$86.15	$138.00	$650.00
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $23.83 / $23.83 / $23.83	Facility	AS	$23.83	$23.83	$23.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $62.49 / $368.28	Professional		$36.61	$62.49	$368.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.21 / $96.74 / $128.97	Facility		$57.21	$96.74	$128.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $88.65 / $115.57	Professional		$59.79	$88.65	$115.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $67.86 / $112.99	Professional		$37.61	$67.86	$112.99
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $56.89 / $56.89 / $5,733.00	Facility		$56.89	$56.89	$5,733.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $56.06 / $81.17	Professional		$29.58	$56.06	$81.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $106.62 / $146.47	Professional		$59.80	$106.62	$146.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $78.98 / $107.63	Professional		$58.98	$78.98	$107.63
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $107.04 / $138.00 / $238.31	Facility		$107.04	$138.00	$238.31
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $23.83 / $23.83 / $23.83	Facility	AS	$23.83	$23.83	$23.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $71.02 / $368.28	Professional		$37.54	$71.02	$368.28
Tufts Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $50.65 / $90.74	Professional		$31.91	$50.65	$90.74
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $57.53 / $124.03	Professional		$36.61	$57.53	$124.03