Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $281.84 / $660.69	Facility		$104.71	$281.84	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $50.12 / $138.04	Facility	26	$26.92	$50.12	$138.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $85.11 / $295.12 / $1,023.29	Facility	TC	$85.11	$295.12	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $602.56	Professional		$95.50	$213.80	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $48.98 / $134.90	Professional	26	$30.90	$48.98	$134.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	52	$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $100.00 / $331.13	Professional	TC	$61.66	$100.00	$331.13
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $275.42 / $707.95	Facility		$93.33	$275.42	$707.95
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $218.78 / $218.78	Facility	26	$81.28	$218.78	$218.78
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $186.21 / $478.63 / $478.63	Facility	TC	$186.21	$478.63	$478.63
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $707.95	Professional		$97.72	$151.36	$707.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $48.98 / $288.40	Professional	26	$29.51	$48.98	$288.40
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $109.65 / $478.63	Professional	TC	$69.18	$109.65	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $257.04	Facility		$128.82	$162.18	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $316.23	Professional		$138.04	$234.42	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $67.61 / $91.20	Professional	26	$39.81	$67.61	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $380.19 / $602.56	Facility		$134.90	$380.19	$602.56
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	TC	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $323.59	Professional		$87.10	$165.96	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $51.29 / $97.72	Professional	26	$31.62	$51.29	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $117.49 / $223.87	Professional	TC	$70.79	$117.49	$223.87
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $134.90 / $7,079.46	Facility		$77.62	$134.90	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $112.20 / $229.09	Professional		$45.71	$112.20	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $295.12	Professional		$109.65	$186.21	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $89.13	Professional	26	$34.67	$56.23	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $123.03 / $194.98	Professional	TC	$75.86	$123.03	$194.98
Health New England Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $223.87 / $870.96	Facility		$107.15	$223.87	$870.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $288.40	Professional		$48.98	$72.44	$288.40
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $275.42 / $707.95	Facility		$93.33	$275.42	$707.95
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $218.78 / $218.78	Facility	26	$81.28	$218.78	$218.78
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $186.21 / $478.63 / $478.63	Facility	TC	$186.21	$478.63	$478.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $707.95	Professional		$97.72	$151.36	$707.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $47.86 / $288.40	Professional	26	$29.51	$47.86	$288.40
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $478.63	Professional	TC	$69.18	$107.15	$478.63
Tufts Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $117.49 / $371.54	Facility		$52.48	$117.49	$371.54
Tufts Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $190.55	Professional		$53.70	$104.71	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $165.96 / $302.00	Facility		$57.54	$165.96	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $302.00	Professional		$107.15	$154.88	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $48.98 / $95.50	Professional	26	$33.11	$48.98	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $208.93	Professional	TC	$72.44	$109.65	$208.93