Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $104.03 / $918.04	Facility		$46.35	$104.03	$918.04
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.37 / $42.20 / $56.17	Facility	26	$24.37	$42.20	$56.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $158.62 / $610.92	Professional		$46.35	$158.62	$610.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $40.54 / $124.46	Professional	26	$24.37	$40.54	$124.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.99 / $55.30 / $184.73	Professional	TC	$21.99	$55.30	$184.73
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $126.61 / $889.98	Facility		$35.46	$126.61	$889.98
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $70.30 / $73.84 / $261.98	Facility	26	$70.30	$73.84	$261.98
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $135.66 / $953.33	Professional		$59.24	$135.66	$953.33
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.25 / $47.55 / $368.00	Professional	26	$28.25	$47.55	$368.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.60 / $70.52 / $758.00	Professional	TC	$27.60	$70.52	$758.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $69.56 / $134.68	Facility		$50.49	$69.56	$134.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $21.39	Professional		$21.39	$21.39	$21.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.68 / $56.10 / $82.20	Professional	26	$39.68	$56.10	$82.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.86 / $65.17 / $303.99	Professional	TC	$37.86	$65.17	$303.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $600.69 / $642.47	Facility		$178.46	$600.69	$642.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $120.82 / $265.83	Professional		$60.75	$120.82	$265.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.17 / $50.04 / $88.50	Professional	26	$30.17	$50.04	$88.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $62.61 / $208.94	Professional	TC	$28.91	$62.61	$208.94
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $83.43 / $6,679.00	Facility		$35.72	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $53.72 / $109.98	Professional		$35.43	$53.72	$109.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $136.55 / $184.00	Professional		$70.34	$136.55	$184.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $73.06 / $96.39	Professional	26	$36.86	$73.06	$96.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.64 / $70.34 / $92.32	Professional	TC	$35.64	$70.34	$92.32
Health New England Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $185.40 / $635.61	Facility		$61.49	$185.40	$635.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $62.05 / $95.40	Professional		$42.17	$62.05	$95.40
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $126.61 / $889.98 / $889.98	Facility		$126.61	$889.98	$889.98
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $72.14 / $261.98 / $261.98	Facility	26	$72.14	$261.98	$261.98
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $146.66 / $953.33	Professional		$64.31	$146.66	$953.33
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $30.54 / $46.98 / $368.00	Professional	26	$30.54	$46.98	$368.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.59 / $102.85 / $758.00	Professional	TC	$28.59	$102.85	$758.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $159.55 / $218.10	Facility		$44.72	$159.55	$218.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $114.32 / $208.04	Professional		$60.41	$114.32	$208.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.19 / $40.49 / $91.80	Professional	26	$30.19	$40.49	$91.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.36 / $52.46 / $151.79	Professional	TC	$27.36	$52.46	$151.79