Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.93 / $180.23 / $587.88	Facility		$93.93	$180.23	$587.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.16 / $48.84 / $64.91	Facility	26	$27.16	$48.84	$64.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $104.31 / $238.74 / $806.38	Facility	TC	$104.31	$238.74	$806.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $139.09 / $422.87	Professional		$89.60	$139.09	$422.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.67 / $37.95 / $114.00	Professional	26	$29.67	$37.95	$114.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $44.80 / $55.48 / $67.20	Professional	52	$44.80	$55.48	$67.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.45 / $98.44 / $286.14	Professional	TC	$62.45	$98.44	$286.14
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $124.59 / $269.79 / $570.62	Facility		$124.59	$269.79	$570.62
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.63 / $85.74 / $170.43	Facility	26	$81.63	$85.74	$170.43
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $155.00 / $197.65 / $400.24	Facility	TC	$155.00	$197.65	$400.24
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $173.50 / $704.47	Professional		$106.81	$173.50	$704.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.95 / $54.63 / $290.60	Professional	26	$31.95	$54.63	$290.60
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $76.33 / $126.99 / $483.33	Professional	TC	$76.33	$126.99	$483.33
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 26 Low / Median / High Price $47.25 / $65.26 / $88.13	Professional	26	$47.25	$65.26	$88.13
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $23.01 / $32.54 / $44.07	Professional	52	$23.01	$32.54	$44.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.63 / $138.28 / $199.96	Professional	TC	$98.63	$138.28	$199.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $369.50 / $600.66	Facility		$135.38	$369.50	$600.66
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $89.39 / $89.39 / $89.39	Facility	TC	$89.39	$89.39	$89.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $198.16 / $348.65	Professional		$116.00	$198.16	$348.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.09 / $54.77 / $102.96	Professional	26	$35.09	$54.77	$102.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.86 / $141.85 / $249.80	Professional	TC	$83.86	$141.85	$249.80
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.43 / $169.20 / $6,679.00	Facility		$83.43	$169.20	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $108.74 / $202.17	Professional		$44.59	$108.74	$202.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $259.04 / $337.23	Professional		$132.30	$259.04	$337.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $83.41 / $111.40	Professional	26	$42.60	$83.41	$111.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $89.70 / $177.07 / $234.57	Professional	TC	$89.70	$177.07	$234.57
Health New England Facility/Professional Facility Modifier Low / Median / High Price $108.37 / $215.27 / $872.37	Facility		$108.37	$215.27	$872.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $98.37 / $229.77	Professional		$56.81	$98.37	$229.77
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $229.54 / $570.62 / $570.62	Facility		$229.54	$570.62	$570.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $82.37 / $170.43 / $170.43	Facility	26	$82.37	$170.43	$170.43
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $155.00 / $400.24 / $400.24	Facility	TC	$155.00	$400.24	$400.24
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $173.50 / $704.47	Professional		$115.13	$173.50	$704.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $33.53 / $54.60 / $290.60	Professional	26	$33.53	$54.60	$290.60
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $77.97 / $124.63 / $483.33	Professional	TC	$77.97	$124.63	$483.33
Tufts Facility/Professional Facility Modifier Low / Median / High Price $106.90 / $135.13 / $294.08	Facility		$106.90	$135.13	$294.08
Tufts Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $144.63 / $234.14	Professional		$113.26	$144.63	$234.14
United Facility/Professional Professional Modifier Low / Median / High Price $113.26 / $154.47 / $274.39	Professional		$113.26	$154.47	$274.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $46.51 / $103.89	Professional	26	$33.11	$46.51	$103.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.59 / $114.02 / $227.66	Professional	TC	$77.59	$114.02	$227.66