Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $127.66 / $172.67	Facility		$104.64	$127.66	$172.67
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $76.13 / $76.13 / $76.26	Facility	25	$76.13	$76.13	$76.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $117.37 / $246.18	Professional		$86.87	$117.37	$246.18
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $358.41 / $650.00	Facility		$90.35	$358.41	$650.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $153.59 / $657.86	Professional		$95.46	$153.59	$657.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.71 / $266.30 / $354.06	Facility		$168.71	$266.30	$354.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $209.80 / $262.87	Professional		$146.19	$209.80	$262.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $170.68 / $269.08	Professional		$103.26	$170.68	$269.08
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $3,504.00 / $9,239.00	Facility		$83.43	$3,504.00	$9,239.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $124.80 / $199.02	Professional		$68.90	$124.80	$199.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $249.76 / $338.77	Professional		$140.08	$249.76	$338.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $171.89 / $982.87 / $1,684.92	Facility		$171.89	$982.87	$1,684.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $196.68 / $310.07	Professional		$132.84	$196.68	$310.07
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $247.06 / $247.06 / $564.82	Facility		$247.06	$247.06	$564.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $170.00 / $657.86	Professional		$102.64	$170.00	$657.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $116.98 / $211.83	Professional		$83.85	$116.98	$211.83
United Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $143.57 / $288.74	Professional		$100.72	$143.57	$288.74