Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $118.15 / $839.59	Facility		$106.67	$118.15	$839.59
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $251.41 / $1,720.09 / $4,300.24	Facility	25	$251.41	$1,720.09	$4,300.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $123.19 / $663.65	Professional		$92.15	$123.19	$663.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $112.78 / $461.73 / $1,463.01	Professional	25	$112.78	$461.73	$1,463.01
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $514.57 / $514.57 / $514.57	Facility		$514.57	$514.57	$514.57
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $230.39 / $1,183.50	Professional		$112.88	$230.39	$1,183.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $269.10 / $341.04	Facility		$120.42	$269.10	$341.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $204.10 / $304.30	Professional		$137.19	$204.10	$304.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $171.10 / $307.94	Professional		$104.01	$171.10	$307.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $124.96 / $124.96 / $124.96	Facility		$124.96	$124.96	$124.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $125.97 / $214.14	Professional		$68.69	$125.97	$214.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $267.89 / $364.20	Professional		$130.63	$267.89	$364.20
Health New England Facility/Professional Facility Modifier Low / Median / High Price $166.61 / $477.75 / $1,010.30	Facility		$166.61	$477.75	$1,010.30
Health New England Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $212.75 / $438.69	Professional		$166.63	$212.75	$438.69
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $514.57 / $514.57 / $514.57	Facility		$514.57	$514.57	$514.57
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $237.32 / $1,183.50	Professional		$124.89	$237.32	$1,183.50
Tufts Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $118.60 / $194.88	Professional		$87.49	$118.60	$194.88
United Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $170.03 / $318.25	Professional		$115.62	$170.03	$318.25
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $234.81	Professional	25	$80.00	$80.00	$234.81