Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $35.76 / $174.09	Facility		$25.39	$35.76	$174.09
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $95.00 / $95.00 / $95.00	Facility	25	$95.00	$95.00	$95.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $37.03 / $96.07	Professional		$24.69	$37.03	$96.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.97 / $113.97 / $118.07	Professional	25	$113.97	$113.97	$118.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.76 / $16.32 / $21.46	Professional	52	$11.76	$16.32	$21.46
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $140.72 / $140.72	Facility		$35.84	$140.72	$140.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $66.81 / $245.75	Professional		$34.90	$66.81	$245.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.28 / $126.32 / $161.00	Facility		$31.28	$126.32	$161.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $57.37 / $83.59	Professional		$39.85	$57.37	$83.59
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $23.29 / $36.79 / $50.24	Professional	52	$23.29	$36.79	$50.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $47.02	Professional		$34.82	$34.82	$47.02
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $27.17 / $34.63	Facility		$27.17	$27.17	$34.63
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $56.36 / $83.07	Professional		$43.31	$56.36	$83.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $73.48 / $106.14	Professional		$40.72	$73.48	$106.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $133.49 / $140.47	Professional		$49.47	$133.49	$140.47
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $140.72 / $140.72	Facility		$140.72	$140.72	$140.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $77.45 / $245.75	Professional		$41.44	$77.45	$245.75
Tufts Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $27.41 / $30.52	Facility		$12.22	$27.41	$30.52
Tufts Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $50.46 / $82.29	Professional		$40.60	$50.46	$82.29
United Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $57.19 / $115.19	Professional		$38.10	$57.19	$115.19