Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.97 / $158.60 / $698.53	Facility		$56.97	$158.60	$698.53
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.00 / $40.09 / $147.87	Facility	26	$30.00	$40.09	$147.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $90.20 / $151.21	Professional		$45.41	$90.20	$151.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.43 / $50.97 / $153.72	Professional	26	$35.43	$50.97	$153.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.51 / $94.51 / $516.20	Professional	50	$94.51	$94.51	$516.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.42 / $36.89 / $47.48	Professional	TC	$16.42	$36.89	$47.48
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $54.85 / $122.18 / $338.68	Facility		$54.85	$122.18	$338.68
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $70.02 / $75.37 / $198.78	Facility	26	$70.02	$75.37	$198.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $110.90 / $679.24	Professional		$53.38	$110.90	$679.24
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $54.33 / $335.18	Professional	26	$32.11	$54.33	$335.18
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.03 / $43.76 / $417.13	Professional	TC	$21.03	$43.76	$417.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.47 / $194.66 / $345.07	Facility		$106.47	$194.66	$345.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $34.97 / $49.52	Professional		$23.97	$34.97	$49.52
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.03 / $36.03 / $98.25	Professional	50	$36.03	$36.03	$98.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.02 / $24.02 / $65.50	Professional	TC	$24.02	$24.02	$65.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $295.99 / $600.66	Facility		$135.38	$295.99	$600.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $109.57 / $202.46	Professional		$60.15	$109.57	$202.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $61.91 / $106.88	Professional	26	$37.11	$61.91	$106.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.90 / $46.09 / $98.68	Professional	TC	$23.90	$46.09	$98.68
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $83.43 / $6,679.00	Facility		$21.72	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $46.50 / $91.50	Professional		$23.85	$46.50	$91.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $114.68 / $155.68	Professional		$58.57	$114.68	$155.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $72.76 / $96.39	Professional	26	$36.86	$72.76	$96.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.71 / $43.04 / $56.77	Professional	TC	$21.71	$43.04	$56.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $78.05 / $158.09 / $872.10	Facility		$78.05	$158.09	$872.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $48.36 / $91.53	Professional		$46.19	$48.36	$91.53
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $103.10 / $338.68 / $338.68	Facility		$103.10	$338.68	$338.68
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $70.02 / $198.78 / $198.78	Facility	26	$70.02	$198.78	$198.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $122.60 / $679.24	Professional		$55.97	$122.60	$679.24
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $32.34 / $55.88 / $335.18	Professional	26	$32.34	$55.88	$335.18
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.43 / $60.11 / $417.13	Professional	TC	$22.43	$60.11	$417.13
United Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $108.58 / $177.71	Professional		$55.97	$108.58	$177.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.32 / $43.27 / $89.88	Professional	26	$32.32	$43.27	$89.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.32 / $34.00 / $75.81	Professional	TC	$22.32	$34.00	$75.81