Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.09 / $209.15 / $364.90	Facility		$107.09	$209.15	$364.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $297.23 / $297.23 / $297.23	Facility	25	$297.23	$297.23	$297.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.09 / $162.57 / $333.57	Professional		$107.09	$162.57	$333.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $299.54 / $559.29 / $621.60	Professional	25	$299.54	$559.29	$621.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $307.48 / $683.24	Facility		$90.35	$307.48	$683.24
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $258.89 / $887.76	Professional		$130.12	$258.89	$887.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.13 / $204.80 / $364.73	Facility		$159.13	$204.80	$364.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $241.25 / $413.05	Professional		$137.12	$241.25	$413.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $264.27 / $467.69	Professional		$155.22	$264.27	$467.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $208.05 / $6,679.00	Facility		$70.00	$208.05	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $129.24 / $229.90 / $357.58	Professional		$129.24	$229.90	$357.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $276.56 / $509.54	Professional		$169.98	$276.56	$509.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $272.50 / $448.00	Professional		$216.38	$272.50	$448.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $683.24 / $683.24	Facility		$100.00	$683.24	$683.24
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $357.41 / $1,291.38	Professional		$192.39	$357.41	$1,291.38
Tufts Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $110.32 / $316.49	Professional		$110.32	$110.32	$316.49
United Facility/Professional Professional Modifier Low / Median / High Price $178.81 / $258.23 / $514.60	Professional		$178.81	$258.23	$514.60