Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $283.81 / $775.72	Facility		$125.74	$283.81	$775.72
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.97 / $53.52 / $71.20	Facility	26	$29.97	$53.52	$71.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $137.78 / $444.78	Professional		$97.36	$137.78	$444.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.97 / $41.16 / $123.33	Professional	26	$29.97	$41.16	$123.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.39 / $98.44 / $284.30	Professional	TC	$67.39	$98.44	$284.30
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $133.69 / $289.57 / $611.17	Facility		$133.69	$289.57	$611.17
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $89.57 / $94.09 / $187.10	Facility	26	$89.57	$94.09	$187.10
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $183.62 / $760.68	Professional		$110.72	$183.62	$760.68
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $60.66 / $303.79	Professional	26	$35.58	$60.66	$303.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $78.69 / $133.38 / $518.02	Professional	TC	$78.69	$133.38	$518.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $194.66 / $345.07	Facility		$128.66	$194.66	$345.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $35.81 / $48.36	Professional		$25.25	$35.81	$48.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.50 / $71.61 / $96.70	Professional	26	$54.50	$71.61	$96.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.82 / $153.19 / $213.32	Professional	TC	$102.82	$153.19	$213.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $376.13 / $600.66	Facility		$135.38	$376.13	$600.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $214.05 / $376.34	Professional		$125.60	$214.05	$376.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.17 / $61.82 / $113.00	Professional	26	$38.17	$61.82	$113.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.39 / $152.04 / $266.49	Professional	TC	$89.39	$152.04	$266.49
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $179.26 / $6,679.00	Facility		$83.43	$179.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $115.20 / $216.60	Professional		$48.92	$115.20	$216.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $268.83 / $361.24	Professional		$141.72	$268.83	$361.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.69 / $92.17 / $122.10	Professional	26	$46.69	$92.17	$122.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.03 / $187.59 / $242.23	Professional	TC	$95.03	$187.59	$242.23
Health New England Facility/Professional Facility Modifier Low / Median / High Price $119.01 / $332.28 / $1,000.81	Facility		$119.01	$332.28	$1,000.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $61.64 / $114.88 / $269.66	Professional		$61.64	$114.88	$269.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $246.15 / $611.17 / $611.17	Facility		$246.15	$611.17	$611.17
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $187.10 / $187.10	Facility	26	$90.38	$187.10	$187.10
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $182.48 / $760.68	Professional		$119.70	$182.48	$760.68
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $37.17 / $59.92 / $303.79	Professional	26	$37.17	$59.92	$303.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $82.53 / $129.96 / $518.02	Professional	TC	$82.53	$129.96	$518.02
Tufts Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $136.21 / $253.52	Facility		$100.99	$136.21	$253.52
Tufts Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $123.75 / $194.74	Professional		$67.48	$123.75	$194.74
United Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $158.16 / $280.95	Professional		$117.46	$158.16	$280.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $51.77 / $113.48	Professional	26	$36.29	$51.77	$113.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.08 / $114.18 / $254.85	Professional	TC	$81.08	$114.18	$254.85