Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.37 / $268.45 / $1,047.00	Facility		$213.37	$268.45	$1,047.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $613.78 / $1,164.90 / $1,656.42	Facility	25	$613.78	$1,164.90	$1,656.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $258.56 / $634.59	Professional		$184.86	$258.56	$634.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $199.24 / $378.96 / $1,359.25	Professional	25	$199.24	$378.96	$1,359.25
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,027.61 / $1,027.61 / $1,027.61	Facility		$1,027.61	$1,027.61	$1,027.61
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $249.76 / $506.55 / $1,733.52	Professional		$249.76	$506.55	$1,733.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.63 / $1,244.00 / $1,576.58	Facility		$240.63	$1,244.00	$1,576.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.92 / $426.84 / $694.46	Professional		$290.92	$426.84	$694.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $286.33 / $286.33	Facility		$286.33	$286.33	$286.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.04 / $363.76 / $674.70	Professional		$212.04	$363.76	$674.70
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $249.72 / $249.72 / $249.72	Facility		$249.72	$249.72	$249.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $284.99 / $488.86	Professional		$160.06	$284.99	$488.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $572.54 / $837.54	Professional		$285.83	$572.54	$837.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $332.96 / $1,073.15 / $1,452.75	Facility		$332.96	$1,073.15	$1,452.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $323.83 / $461.20 / $868.87	Professional		$323.83	$461.20	$868.87
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,027.61 / $1,027.61 / $1,027.61	Facility		$1,027.61	$1,027.61	$1,027.61
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $279.10 / $538.65 / $1,733.52	Professional		$279.10	$538.65	$1,733.52
Tufts Facility/Professional Facility Modifier Low / Median / High Price $158.44 / $216.59 / $1,631.06	Facility		$158.44	$216.59	$1,631.06
Tufts Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $225.62 / $387.02	Professional		$167.59	$225.62	$387.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,133.95 / $1,133.95 / $1,190.65	Facility		$1,133.95	$1,133.95	$1,190.65
United Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $373.58 / $721.72	Professional		$260.08	$373.58	$721.72