Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.73 / $1,418.00 / $3,363.00	Facility		$341.73	$1,418.00	$3,363.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.79 / $40.79 / $40.79	Facility	26	$40.79	$40.79	$40.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $299.20 / $899.51	Professional		$122.08	$299.20	$899.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.25 / $59.02 / $212.84	Professional	26	$40.25	$59.02	$212.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.29 / $114.30 / $240.16	Professional	TC	$81.29	$114.30	$240.16
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $218.22 / $818.35 / $2,922.50	Facility		$218.22	$818.35	$2,922.50
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $86.42 / $95.91 / $127.62	Facility	26	$86.42	$95.91	$127.62
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $187.14 / $375.52 / $1,577.95	Professional		$187.14	$375.52	$1,577.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.68 / $90.97 / $907.84	Professional	26	$41.68	$90.97	$907.84
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $148.29 / $295.04 / $1,150.75	Professional	TC	$148.29	$295.04	$1,150.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.73 / $338.36 / $639.65	Professional		$195.73	$338.36	$639.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $73.04 / $138.07	Professional	26	$42.25	$73.04	$138.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $153.49 / $265.33 / $501.61	Professional	TC	$153.49	$265.33	$501.61
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 $206.37 / $422.86 / $751.37	Professional		$206.37	$422.86	$751.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.97 / $81.04 / $144.03	Professional	26	$51.97	$81.04	$144.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.11 / $339.85 / $545.37	Professional	TC	$151.11	$339.85	$545.37
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $221.28 / $6,679.00	Facility		$133.38	$221.28	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $110.64 / $259.64	Professional		$28.86	$110.64	$259.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $402.66 / $513.41	Professional		$203.98	$402.66	$513.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $47.92 / $95.00 / $120.61	Professional	26	$47.92	$95.00	$120.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $156.06 / $309.37 / $392.80	Professional	TC	$156.06	$309.37	$392.80
Health New England Facility/Professional Facility Modifier Low / Median / High Price $391.96 / $391.96 / $608.01	Facility		$391.96	$391.96	$608.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $93.57 / $358.08	Professional		$69.75	$93.57	$358.08
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,790.00 / $3,445.00	Facility		$55.00	$1,790.00	$3,445.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $101.27 / $101.27 / $190.52	Facility	26	$101.27	$101.27	$190.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $399.16 / $1,577.95	Professional		$218.46	$399.16	$1,577.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.15 / $96.12 / $907.84	Professional	26	$51.15	$96.12	$907.84
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $153.43 / $351.09 / $1,150.75	Professional	TC	$153.43	$351.09	$1,150.75
United Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,818.00 / $2,733.00	Facility		$627.00	$1,818.00	$2,733.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $320.60 / $738.41	Professional		$203.98	$320.60	$738.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.31 / $79.00 / $148.49	Professional	26	$48.31	$79.00	$148.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.02 / $244.67 / $475.17	Professional	TC	$150.02	$244.67	$475.17