Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $346.74 / $1,621.81	Facility		$213.80	$346.74	$1,621.81
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $616.60 / $1,174.90 / $1,584.89	Facility	25	$616.60	$1,174.90	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $812.83	Professional		$173.78	$269.15	$812.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $186.21 / $389.05 / $1,023.29	Professional	25	$186.21	$389.05	$1,023.29
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $1,737.80	Professional		$218.78	$338.84	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $316.23 / $1,548.82	Facility		$239.88	$316.23	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $630.96	Professional		$239.88	$416.87	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $602.56	Professional		$208.93	$316.23	$602.56
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $588.84	Professional		$173.78	$316.23	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $776.25	Professional		$239.88	$436.52	$776.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,023.29 / $1,445.44	Facility		$331.13	$1,023.29	$1,445.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $1,698.24	Professional		$239.88	$436.52	$1,698.24
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $1,737.80	Professional		$223.87	$338.84	$1,737.80
Tufts Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $165.96 / $524.81	Facility		$154.88	$165.96	$524.81
Tufts Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $398.11	Professional		$158.49	$213.80	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $3,019.95	Facility		$1,096.48	$1,174.90	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $724.44	Professional		$204.17	$331.13	$724.44