Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.46 / $727.57 / $6,657.52	Facility		$126.46	$727.57	$6,657.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.70 / $39.70 / $152.29	Facility	26	$39.70	$39.70	$152.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.46 / $197.03 / $259.52	Professional		$126.46	$197.03	$259.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $56.86 / $156.12	Professional	26	$39.70	$56.86	$156.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $56.07 / $73.59 / $123.62	Professional	52	$56.07	$73.59	$123.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.85 / $126.48 / $200.40	Professional	TC	$62.85	$126.48	$200.40
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $169.58 / $477.84 / $5,481.31	Facility		$169.58	$477.84	$5,481.31
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $187.88 / $197.36 / $386.03	Facility	26	$187.88	$197.36	$386.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $349.76 / $3,195.57	Professional		$161.87	$349.76	$3,195.57
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $59.57 / $117.43 / $551.37	Professional	26	$59.57	$117.43	$551.37
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $78.63 / $168.50 / $2,892.33	Professional	TC	$78.63	$168.50	$2,892.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.69 / $3,775.91 / $7,551.83	Facility		$1,861.69	$3,775.91	$7,551.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $101.68 / $151.76 / $201.69	Professional	26	$101.68	$151.76	$201.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $85.57 / $140.32 / $148.07	Professional	TC	$85.57	$140.32	$148.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.89 / $8,191.54 / $13,425.04	Facility		$754.89	$8,191.54	$13,425.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $328.80 / $650.17	Professional		$162.10	$328.80	$650.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.03 / $116.45 / $238.75	Professional	26	$63.03	$116.45	$238.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.76 / $177.06 / $461.54	Professional	TC	$86.76	$177.06	$461.54
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $117.03 / $8,090.00	Facility		$70.53	$117.03	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $127.93 / $266.51	Professional		$89.53	$127.93	$266.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $181.86 / $366.27 / $488.75	Professional		$181.86	$366.27	$488.75
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $99.12 / $198.24 / $259.20	Professional	26	$99.12	$198.24	$259.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $82.74 / $165.02 / $216.37	Professional	TC	$82.74	$165.02	$216.37
Health New England Facility/Professional Facility Modifier Low / Median / High Price $182.11 / $1,720.40 / $2,889.79	Facility		$182.11	$1,720.40	$2,889.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $130.56 / $241.89	Professional		$127.33	$130.56	$241.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $477.84 / $1,600.36 / $1,600.36	Facility		$477.84	$1,600.36	$1,600.36
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $188.75 / $386.03 / $386.03	Facility	26	$188.75	$386.03	$386.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $177.76 / $444.46 / $3,195.57	Professional		$177.76	$444.46	$3,195.57
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $63.00 / $117.65 / $551.37	Professional	26	$63.00	$117.65	$551.37
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $82.68 / $198.75 / $2,892.33	Professional	TC	$82.68	$198.75	$2,892.33
United Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $318.83 / $699.31	Professional		$169.58	$318.83	$699.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.53 / $99.12 / $196.87	Professional	26	$57.53	$99.12	$196.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $78.67 / $118.01 / $512.21	Professional	TC	$78.67	$118.01	$512.21