Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $108.88 / $293.30	Facility		$108.88	$108.88	$293.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $131.85 / $289.89	Professional		$91.87	$131.85	$289.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $110.41 / $207.12 / $410.20	Professional	25	$110.41	$207.12	$410.20
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $121.39 / $245.77 / $667.49	Facility		$121.39	$245.77	$667.49
AllWays Health Partners Facility/Professional Facility Modifier 25 Low / Median / High Price $57.29 / $90.36 / $104.81	Facility	25	$57.29	$90.36	$104.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $221.20 / $818.99	Professional		$119.71	$221.20	$818.99
AllWays Health Partners Facility/Professional Professional Modifier 25 Low / Median / High Price $60.69 / $122.89 / $180.25	Professional	25	$60.69	$122.89	$180.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $140.22	Professional		$116.36	$116.36	$140.22
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $132.94 / $169.44	Facility		$132.94	$132.94	$169.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $144.03 / $188.34 / $273.45	Professional		$144.03	$188.34	$273.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $317.48 / $403.10	Professional		$160.15	$317.48	$403.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $130.34 / $262.89	Professional		$127.73	$130.34	$262.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $245.77 / $667.49 / $667.49	Facility		$245.77	$667.49	$667.49
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $198.37 / $818.99	Professional		$121.53	$198.37	$818.99
Tufts Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $145.13 / $181.08	Facility		$27.30	$145.13	$181.08
Tufts Facility/Professional Professional Modifier Low / Median / High Price $138.02 / $187.78 / $272.97	Professional		$138.02	$187.78	$272.97
United Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $176.46 / $354.73	Professional		$117.29	$176.46	$354.73