Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $54.95 / $151.36	Facility		$51.29	$54.95	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $114.82	Professional		$51.29	$51.29	$114.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $177.83	Facility		$51.29	$79.43	$177.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $144.54	Professional		$30.90	$51.29	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $93.33	Facility		$51.29	$64.57	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $117.49	Professional		$51.29	$87.10	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.90 / $83.18	Facility		$34.67	$38.90	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $67.61	Professional		$51.29	$56.23	$67.61
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $102.33 / $7,079.46	Facility		$52.48	$102.33	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $107.15	Professional		$56.23	$72.44	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $109.65	Professional		$51.29	$51.29	$109.65
Health New England Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $56.23 / $117.49	Facility		$53.70	$56.23	$117.49
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $177.83	Facility		$51.29	$79.43	$177.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $144.54	Professional		$30.90	$51.29	$144.54
Tufts Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $125.89	Facility		$51.29	$64.57	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $61.66	Facility		$30.90	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $97.72	Professional		$30.90	$51.29	$97.72