Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $776.25	Facility		$181.97	$323.59	$776.25
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $77.62 / $77.62	Facility	26	$54.95	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $97.72 / $457.09	Professional		$38.02	$97.72	$457.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $53.70 / $194.98	Professional	26	$30.20	$53.70	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $40.74 / $169.82	Professional	TC	$25.12	$40.74	$169.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $467.74 / $2,951.21	Facility		$56.23	$467.74	$2,951.21
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $89.13 / $323.59	Facility	26	$81.28	$89.13	$323.59
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $1,318.26	Professional		$64.57	$138.04	$1,318.26
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $74.13 / $630.96	Professional	26	$33.11	$74.13	$630.96
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $61.66 / $870.96	Professional	TC	$28.84	$61.66	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $117.49	Professional		$64.57	$91.20	$117.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $66.07 / $95.50	Professional	26	$41.69	$66.07	$95.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $47.86 / $53.70	Professional	TC	$30.20	$47.86	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $354.81	Professional		$75.86	$144.54	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $81.28 / $154.88	Professional	26	$40.74	$81.28	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $66.07 / $234.42	Professional	TC	$30.20	$66.07	$234.42
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $83.18 / $8,511.38	Facility		$37.15	$83.18	$8,511.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $47.86 / $123.03	Professional		$22.39	$47.86	$123.03
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,467.37	Facility		$630.96	$2,041.74	$3,467.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $208.93	Professional		$45.71	$104.71	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $72.44 / $112.20	Professional	26	$44.67	$72.44	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $50.12 / $89.13	Professional	TC	$30.20	$50.12	$89.13
Health New England Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $794.33	Facility		$275.42	$371.54	$794.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $213.80	Professional		$57.54	$67.61	$213.80
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	26	$31.62	$31.62	$31.62
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $467.74 / $2,951.21	Facility		$56.23	$467.74	$2,951.21
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $89.13 / $323.59	Facility	26	$81.28	$89.13	$323.59
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $1,318.26	Professional		$64.57	$138.04	$1,318.26
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $74.13 / $630.96	Professional	26	$33.11	$74.13	$630.96
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $61.66 / $870.96	Professional	TC	$28.84	$61.66	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,819.70 / $2,818.38	Facility		$309.03	$1,819.70	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $331.13	Professional		$74.13	$147.91	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $74.13 / $128.82	Professional	26	$40.74	$74.13	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $63.10 / $190.55	Professional	TC	$31.62	$63.10	$190.55