Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.89 / $257.52 / $487.88	Facility		$102.89	$257.52	$487.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.35 / $25.36 / $93.66	Facility	26	$25.35	$25.36	$93.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $96.09 / $275.80	Professional		$63.27	$96.09	$275.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.36 / $41.75 / $113.88	Professional	26	$25.36	$41.75	$113.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $105.12 / $219.38 / $772.00	Professional	50	$105.12	$219.38	$772.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.69 / $57.03 / $143.65	Professional	TC	$44.69	$57.03	$143.65
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $97.48 / $184.50 / $539.87	Facility		$97.48	$184.50	$539.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $76.17 / $80.01 / $158.97	Facility	26	$76.17	$80.01	$158.97
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $126.77 / $546.22	Professional		$83.73	$126.77	$546.22
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.11 / $47.18 / $203.94	Professional	26	$30.11	$47.18	$203.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $54.27 / $80.19 / $342.28	Professional	TC	$54.27	$80.19	$342.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $110.42 / $213.79	Facility		$80.15	$110.42	$213.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $30.37 / $41.14	Professional		$18.52	$30.37	$41.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.03 / $61.91 / $94.62	Professional	26	$37.03	$61.91	$94.62
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.35 / $106.40 / $106.40	Professional	50	$87.35	$106.40	$106.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.23 / $70.93 / $70.93	Professional	TC	$58.23	$70.93	$70.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $210.89 / $271.77	Facility		$73.48	$210.89	$271.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $138.63 / $268.95	Professional		$86.16	$138.63	$268.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.57 / $52.40 / $96.00	Professional	26	$33.57	$52.40	$96.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.24 / $90.36 / $173.98	Professional	TC	$52.24	$90.36	$173.98
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $121.38 / $6,679.00	Facility		$61.46	$121.38	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $81.93 / $155.30	Professional		$41.57	$81.93	$155.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $196.85 / $265.20	Professional		$104.04	$196.85	$265.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $77.79 / $101.27	Professional	26	$39.72	$77.79	$101.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $64.31 / $127.49 / $168.18	Professional	TC	$64.31	$127.49	$168.18
Health New England Facility/Professional Facility Modifier Low / Median / High Price $92.73 / $163.38 / $496.14	Facility		$92.73	$163.38	$496.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $93.10 / $193.95	Professional		$49.78	$93.10	$193.95
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $539.87 / $539.87	Facility		$180.69	$539.87	$539.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $76.50 / $158.97 / $158.97	Facility	26	$76.50	$158.97	$158.97
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $122.57 / $546.22	Professional		$87.37	$122.57	$546.22
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $32.27 / $45.05 / $203.94	Professional	26	$32.27	$45.05	$203.94
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $55.10 / $77.78 / $342.28	Professional	TC	$55.10	$77.78	$342.28
Tufts Facility/Professional Facility Modifier Low / Median / High Price $66.66 / $105.12 / $188.88	Facility		$66.66	$105.12	$188.88
Tufts Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $76.56 / $157.00	Professional		$37.19	$76.56	$157.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $115.88 / $211.10	Professional		$86.90	$115.88	$211.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.29 / $44.79 / $88.00	Professional	26	$31.29	$44.79	$88.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.66 / $77.78 / $166.51	Professional	TC	$54.66	$77.78	$166.51