Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.14 / $115.14 / $154.47	Facility		$115.14	$115.14	$154.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $143.72 / $258.67	Professional		$105.15	$143.72	$258.67
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $261.39 / $261.39 / $261.39	Professional	25	$261.39	$261.39	$261.39
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $653.54 / $653.54 / $653.54	Facility		$653.54	$653.54	$653.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.57 / $307.04 / $1,045.69	Professional		$123.57	$307.04	$1,045.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $200.51	Professional		$147.90	$147.90	$200.51
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $131.00 / $131.00 / $166.96	Facility		$131.00	$131.00	$166.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $182.88 / $231.70 / $336.31	Professional		$182.88	$231.70	$336.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $184.04 / $351.64 / $451.95	Professional		$184.04	$351.64	$451.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $162.19 / $162.19	Professional		$121.77	$162.19	$162.19
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $653.54 / $653.54 / $653.54	Facility		$653.54	$653.54	$653.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $123.57 / $305.44 / $1,045.69	Professional		$123.57	$305.44	$1,045.69
Tufts Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $238.81 / $319.31	Professional		$175.54	$238.81	$319.31
United Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $223.93 / $439.92	Professional		$112.37	$223.93	$439.92