Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $257.04 / $549.54	Facility		$100.00	$257.04	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $31.62 / $128.82	Facility	26	$25.12	$31.62	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $407.38	Professional		$54.95	$112.20	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $69.18 / $173.78	Professional	26	$30.20	$69.18	$173.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $190.55 / $630.96	Professional	50	$69.18	$190.55	$630.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $64.57 / $257.04	Professional	TC	$43.65	$64.57	$257.04
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $194.98 / $549.54	Facility		$66.07	$194.98	$549.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $79.43 / $204.17	Facility	26	$35.48	$79.43	$204.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $549.54	Professional		$72.44	$114.82	$549.54
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $204.17	Professional	26	$27.54	$42.66	$204.17
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $74.13 / $338.84	Professional	TC	$44.67	$74.13	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $177.83	Facility		$70.79	$109.65	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $245.47	Professional		$107.15	$165.96	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $63.10 / $85.11	Professional	26	$37.15	$63.10	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $204.17 / $295.12	Facility		$74.13	$204.17	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $245.47	Professional		$74.13	$125.89	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $46.77 / $91.20	Professional	26	$28.18	$46.77	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $81.28 / $151.36	Professional	TC	$44.67	$81.28	$151.36
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $97.72 / $7,079.46	Facility		$56.23	$97.72	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $165.96	Professional		$41.69	$83.18	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $223.87	Professional		$85.11	$144.54	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $51.29 / $85.11	Professional	26	$32.36	$51.29	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $89.13 / $141.25	Professional	TC	$54.95	$89.13	$141.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $158.49 / $501.19	Facility		$74.13	$158.49	$501.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $229.09	Professional		$45.71	$60.26	$229.09
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $194.98 / $549.54	Facility		$66.07	$194.98	$549.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $79.43 / $204.17	Facility	26	$35.48	$79.43	$204.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $549.54	Professional		$72.44	$114.82	$549.54
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $42.66 / $204.17	Professional	26	$27.54	$42.66	$204.17
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $74.13 / $338.84	Professional	TC	$44.67	$74.13	$338.84
Tufts Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $239.88	Facility		$64.57	$89.13	$239.88
Tufts Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $158.49	Professional		$39.81	$75.86	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $123.03 / $251.19	Facility		$54.95	$123.03	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $234.42	Professional		$83.18	$120.23	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $44.67 / $87.10	Professional	26	$30.90	$44.67	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $75.86 / $147.91	Professional	TC	$51.29	$75.86	$147.91