Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $88.37 / $803.92	Facility		$63.13	$88.37	$803.92
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $435.21 / $591.97 / $950.00	Facility	25	$435.21	$591.97	$950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $71.06 / $130.15	Professional		$53.67	$71.06	$130.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.68 / $111.75 / $311.52	Professional	25	$70.68	$111.75	$311.52
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $157.05 / $157.05 / $337.35	Facility		$157.05	$157.05	$337.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.58 / $125.60 / $500.00	Professional		$63.58	$125.60	$500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.85 / $453.39 / $475.07	Facility		$374.85	$453.39	$475.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $130.10 / $172.08	Professional		$90.11	$130.10	$172.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $629.00 / $801.74	Facility		$82.02	$629.00	$801.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $108.63 / $186.64	Professional		$60.95	$108.63	$186.64
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $81.59 / $82.52	Facility		$75.65	$81.59	$82.52
Fallon Health Facility/Professional Facility Modifier 25 Low / Median / High Price $75.65 / $75.65 / $81.59	Facility	25	$75.65	$75.65	$81.59
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $75.65 / $112.82	Professional		$40.92	$75.65	$112.82
Fallon Health Facility/Professional Professional Modifier 25 Low / Median / High Price $75.65 / $77.75 / $92.63	Professional	25	$75.65	$77.75	$92.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $172.17 / $226.02	Professional		$86.43	$172.17	$226.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $215.77 / $493.72	Facility		$110.03	$215.77	$493.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $124.49 / $215.77	Professional		$83.79	$124.49	$215.77
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $157.05 / $157.05 / $337.35	Facility		$157.05	$157.05	$337.35
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $122.28 / $500.00	Professional		$65.13	$122.28	$500.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $54.76 / $624.33	Facility		$49.26	$54.76	$624.33
Tufts Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $75.58 / $158.00	Professional		$54.19	$75.58	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $92.27 / $187.12	Professional		$63.52	$92.27	$187.12