Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.65 / $205.04 / $950.00	Facility		$119.65	$205.04	$950.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $634.32 / $690.91 / $1,061.69	Facility	25	$634.32	$690.91	$1,061.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $128.15 / $255.19	Professional		$94.71	$128.15	$255.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $102.19 / $183.46 / $446.76	Professional	25	$102.19	$183.46	$446.76
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $267.75 / $267.75 / $573.99	Facility		$267.75	$267.75	$573.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $219.16 / $748.12	Professional		$108.09	$219.16	$748.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $605.79 / $732.71 / $767.74	Facility		$605.79	$732.71	$767.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $220.89 / $293.07	Professional		$153.46	$220.89	$293.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $987.00 / $1,283.28	Facility		$139.63	$987.00	$1,283.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $193.99 / $339.79	Professional		$108.16	$193.99	$339.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $128.88 / $137.80 / $140.60	Facility		$128.88	$137.80	$140.60
Fallon Health Facility/Professional Facility Modifier 25 Low / Median / High Price $128.88 / $128.88 / $137.80	Facility	25	$128.88	$128.88	$137.80
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $129.47 / $199.19	Professional		$69.72	$129.47	$199.19
Fallon Health Facility/Professional Professional Modifier 25 Low / Median / High Price $128.88 / $132.24 / $156.38	Professional	25	$128.88	$132.24	$156.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.46 / $293.74 / $385.62	Professional		$147.46	$293.74	$385.62
Health New England Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $363.80 / $759.29	Facility		$187.47	$363.80	$759.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $212.75 / $363.80	Professional		$138.19	$212.75	$363.80
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $267.75 / $267.75 / $573.99	Facility		$267.75	$267.75	$573.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $207.98 / $748.12	Professional		$116.09	$207.98	$748.12
Tufts Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $96.53 / $798.18	Facility		$87.75	$96.53	$798.18
Tufts Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $123.52 / $217.69	Professional		$96.53	$123.52	$217.69
United Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $173.00 / $320.99	Professional		$109.55	$173.00	$320.99