Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $955.55 / $1,440.20	Facility		$64.89	$955.55	$1,440.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.05 / $12.05 / $45.34	Facility	26	$12.05	$12.05	$45.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $91.53 / $255.34	Professional		$64.89	$91.53	$255.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $15.83 / $64.77	Professional	26	$12.05	$15.83	$64.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $75.45 / $162.19	Professional	TC	$52.84	$75.45	$162.19
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $120.48 / $354.73 / $603.13	Facility		$120.48	$354.73	$603.13
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $36.24 / $38.07 / $100.00	Facility	26	$36.24	$38.07	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $83.48 / $145.66 / $687.89	Professional		$83.48	$145.66	$687.89
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $23.86 / $150.00	Professional	26	$15.05	$23.86	$150.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $75.58 / $139.71 / $591.79	Professional	TC	$75.58	$139.71	$591.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $329.58 / $659.15	Facility		$233.26	$329.58	$659.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $14.49 / $19.57	Professional		$10.22	$14.49	$19.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $29.44 / $45.00	Professional	26	$17.61	$29.44	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.89 / $646.69 / $1,267.32	Facility		$261.89	$646.69	$1,267.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $156.69 / $345.50	Professional		$88.87	$156.69	$345.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.27 / $25.78 / $45.80	Professional	26	$16.27	$25.78	$45.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.59 / $137.43 / $300.72	Professional	TC	$73.59	$137.43	$300.72
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $88.46 / $149.69 / $8,090.00	Facility		$88.46	$149.69	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $120.31 / $202.23	Professional		$19.80	$120.31	$202.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $250.78 / $355.80	Professional		$124.52	$250.78	$355.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $37.57 / $49.27	Professional	26	$18.84	$37.57	$49.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $105.68 / $210.77 / $276.36	Professional	TC	$105.68	$210.77	$276.36
Health New England Facility/Professional Facility Modifier Low / Median / High Price $158.26 / $538.55 / $1,408.76	Facility		$158.26	$538.55	$1,408.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $36.97 / $127.50	Professional		$10.90	$36.97	$127.50
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $216.57 / $548.44 / $548.44	Facility		$216.57	$548.44	$548.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $36.72 / $100.00 / $100.00	Facility	26	$36.72	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $146.88 / $687.89	Professional		$93.04	$146.88	$687.89
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $25.23 / $150.00	Professional	26	$16.10	$25.23	$150.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $80.00 / $139.71 / $591.79	Professional	TC	$80.00	$139.71	$591.79
United Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Facility		$63.92	$63.92	$63.92
United Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $124.52 / $244.82	Professional		$89.17	$124.52	$244.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.46 / $21.48 / $42.10	Professional	26	$15.46	$21.48	$42.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.78 / $117.49 / $211.76	Professional	TC	$79.78	$117.49	$211.76