Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.05 / $234.72 / $935.00	Facility		$176.05	$234.72	$935.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $655.02 / $950.00 / $1,522.06	Facility	25	$655.02	$950.00	$1,522.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $174.09 / $261.55 / $655.30	Professional	25	$174.09	$261.55	$655.30
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $388.60 / $388.60 / $830.92	Facility		$388.60	$388.60	$830.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.04 / $1,068.06 / $1,119.11	Facility		$883.04	$1,068.06	$1,119.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $987.00 / $1,283.28	Facility		$202.43	$987.00	$1,283.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $186.75 / $199.98 / $203.72	Facility		$186.75	$199.98	$203.72
Fallon Health Facility/Professional Facility Modifier 25 Low / Median / High Price $186.75 / $186.75 / $199.98	Facility	25	$186.75	$186.75	$199.98
Fallon Health Facility/Professional Professional Modifier 25 Low / Median / High Price $186.75 / $191.50 / $226.78	Professional	25	$186.75	$191.50	$226.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $271.63 / $527.32 / $1,093.23	Facility		$271.63	$527.32	$1,093.23
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $388.60 / $388.60 / $830.92	Facility		$388.60	$388.60	$830.92
Tufts Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $140.25 / $1,011.23	Facility		$122.08	$140.25	$1,011.23