Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.95 / $352.43 / $702.27	Facility		$90.95	$352.43	$702.27
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.32 / $51.32 / $78.73	Facility	26	$51.32	$51.32	$78.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $169.66 / $383.78	Professional		$62.91	$169.66	$383.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.57 / $66.54 / $108.41	Professional	26	$36.57	$66.54	$108.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.28 / $73.69 / $170.40	Professional	TC	$26.28	$73.69	$170.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $502.00 / $2,922.50	Facility		$73.00	$502.00	$2,922.50
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $80.56 / $113.35 / $323.94	Facility	26	$80.56	$113.35	$323.94
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $160.19 / $1,317.18	Professional		$69.68	$160.19	$1,317.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.86 / $84.50 / $638.00	Professional	26	$38.86	$84.50	$638.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.65 / $75.47 / $870.88	Professional	TC	$29.65	$75.47	$870.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $92.04 / $117.29	Professional		$72.72	$92.04	$117.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.30 / $68.09 / $92.24	Professional	26	$47.30	$68.09	$92.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.19 / $47.58 / $49.14	Professional	TC	$42.19	$47.58	$49.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $154.32 / $357.72	Professional		$82.40	$154.32	$357.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.20 / $78.48 / $156.22	Professional	26	$46.20	$78.48	$156.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.18 / $66.36 / $207.76	Professional	TC	$36.18	$66.36	$207.76
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $83.43 / $8,090.00	Facility		$33.79	$83.43	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $43.36 / $101.00	Professional		$20.56	$43.36	$101.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $148.11 / $205.65	Professional		$70.81	$148.11	$205.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.65 / $88.51 / $116.76	Professional	26	$44.65	$88.51	$116.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.00 / $66.56 / $86.67	Professional	TC	$34.00	$66.56	$86.67
Health New England Facility/Professional Facility Modifier Low / Median / High Price $282.55 / $380.70 / $801.14	Facility		$282.55	$380.70	$801.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $58.17 / $199.87	Professional		$49.01	$58.17	$199.87
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $27.97 / $55.94	Professional	26	$11.47	$27.97	$55.94
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,078.00 / $3,445.00	Facility		$55.00	$1,078.00	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $133.40 / $133.40 / $323.94	Facility	26	$133.40	$133.40	$323.94
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $250.27 / $1,317.18	Professional		$79.48	$250.27	$1,317.18
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $44.46 / $89.38 / $638.00	Professional	26	$44.46	$89.38	$638.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $113.26 / $870.88	Professional	TC	$35.15	$113.26	$870.88
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $4,142.00	Facility		$627.00	$1,818.00	$4,142.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $138.15 / $331.78	Professional		$77.69	$138.15	$331.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.53 / $74.03 / $137.01	Professional	26	$42.53	$74.03	$137.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.00 / $70.64 / $232.78	Professional	TC	$34.00	$70.64	$232.78