Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $122.43 / $177.48	Facility		$100.35	$122.43	$177.48
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $747.72 / $747.72 / $747.72	Facility	25	$747.72	$747.72	$747.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $115.93 / $246.46	Professional		$83.83	$115.93	$246.46
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $290.02 / $682.50	Facility		$90.35	$290.02	$682.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $153.11 / $688.14	Professional		$87.54	$153.11	$688.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $253.54 / $340.74	Facility		$138.22	$253.54	$340.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $220.50 / $279.23	Professional		$153.19	$220.50	$279.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $176.77 / $276.06	Professional		$99.71	$176.77	$276.06
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $112.88 / $112.88 / $5,733.00	Facility		$112.88	$112.88	$5,733.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $119.53 / $203.19	Professional		$71.45	$119.53	$203.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.18 / $257.07 / $350.75	Professional		$144.18	$257.07	$350.75
Health New England Facility/Professional Facility Modifier Low / Median / High Price $166.94 / $166.94 / $166.94	Facility		$166.94	$166.94	$166.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $193.55 / $309.62	Professional		$138.24	$193.55	$309.62
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $258.43 / $704.00	Facility		$220.00	$258.43	$704.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $171.63 / $688.14	Professional		$86.46	$171.63	$688.14
Tufts Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $119.22 / $217.83	Professional		$81.84	$119.22	$217.83
United Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $139.81 / $269.11	Professional		$84.19	$139.81	$269.11