Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.11 / $297.75 / $630.38	Facility		$124.11	$297.75	$630.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.67 / $26.40 / $77.34	Facility	26	$20.67	$26.40	$77.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $128.90 / $360.00	Professional		$93.02	$128.90	$360.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.68 / $30.23 / $99.75	Professional	26	$20.68	$30.23	$99.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $46.51 / $53.94 / $103.34	Professional	52	$46.51	$53.94	$103.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.34 / $94.28 / $231.01	Professional	TC	$72.34	$94.28	$231.01
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $127.30 / $292.60 / $584.77	Facility		$127.30	$292.60	$584.77
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $63.16 / $66.72 / $131.34	Facility	26	$63.16	$66.72	$131.34
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $169.74 / $726.73	Professional		$88.10	$169.74	$726.73
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.29 / $42.44 / $255.92	Professional	26	$24.29	$42.44	$255.92
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $68.58 / $142.04 / $554.94	Professional	TC	$68.58	$142.04	$554.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.97 / $194.66 / $345.07	Facility		$98.97	$194.66	$345.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $24.16 / $33.97	Professional		$14.22	$24.16	$33.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $50.29 / $67.91	Professional	26	$36.40	$50.29	$67.91
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $85.19 / $117.29 / $158.90	Professional	52	$85.19	$117.29	$158.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.46 / $112.48 / $185.03	Professional	TC	$102.46	$112.48	$185.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $350.99 / $600.66	Facility		$135.38	$350.99	$600.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $177.83 / $362.22	Professional		$93.92	$177.83	$362.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.77 / $43.24 / $80.13	Professional	26	$26.77	$43.24	$80.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.11 / $143.32 / $282.10	Professional	TC	$71.11	$143.32	$282.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $84.94 / $191.66 / $6,679.00	Facility		$84.94	$191.66	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $122.74 / $213.06	Professional		$34.32	$122.74	$213.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $263.06 / $342.46	Professional		$134.35	$263.06	$342.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.77 / $64.16 / $85.70	Professional	26	$32.77	$64.16	$85.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $101.58 / $200.52 / $265.64	Professional	TC	$101.58	$200.52	$265.64
Health New England Facility/Professional Facility Modifier Low / Median / High Price $84.18 / $232.58 / $501.13	Facility		$84.18	$232.58	$501.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $65.65 / $235.17	Professional		$38.56	$65.65	$235.17
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $232.99 / $584.77 / $584.77	Facility		$232.99	$584.77	$584.77
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $63.16 / $131.34 / $131.34	Facility	26	$63.16	$131.34	$131.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $165.21 / $726.73	Professional		$89.03	$165.21	$726.73
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.24 / $40.53 / $255.92	Professional	26	$25.24	$40.53	$255.92
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $65.13 / $139.28 / $554.94	Professional	TC	$65.13	$139.28	$554.94
Tufts Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $111.00 / $242.78	Facility		$47.56	$111.00	$242.78
Tufts Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $132.00 / $225.35	Professional		$100.20	$132.00	$225.35
United Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $68.09 / $68.09	Facility		$68.09	$68.09	$68.09
United Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $149.50 / $295.27	Professional		$84.45	$149.50	$295.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.09 / $37.32 / $81.40	Professional	26	$25.09	$37.32	$81.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.59 / $113.77 / $257.27	Professional	TC	$64.59	$113.77	$257.27