Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $223.87 / $870.96	Facility		$46.77	$223.87	$870.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $46.77 / $120.23	Facility	26	$23.99	$46.77	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $616.60	Professional		$50.12	$112.20	$616.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $54.95 / $144.54	Professional	26	$26.92	$54.95	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $40.74 / $204.17	Professional	TC	$20.89	$40.74	$204.17
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $117.49 / $891.25	Facility		$35.48	$117.49	$891.25
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $263.03 / $263.03	Facility	26	$70.79	$263.03	$263.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $120.23 / $954.99	Professional		$51.29	$120.23	$954.99
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $41.69 / $371.54	Professional	26	$26.30	$41.69	$371.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $60.26 / $758.58	Professional	TC	$25.70	$60.26	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $89.13	Facility		$44.67	$69.18	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $380.19	Professional		$72.44	$125.89	$380.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $56.23 / $77.62	Professional	26	$33.88	$56.23	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $630.96 / $707.95	Facility		$177.83	$630.96	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $275.42	Professional		$51.29	$112.20	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $44.67 / $87.10	Professional	26	$26.30	$44.67	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $56.23 / $208.93	Professional	TC	$23.44	$56.23	$208.93
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $79.43 / $7,079.46	Facility		$41.69	$79.43	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $147.91	Professional		$38.02	$64.57	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $177.83	Professional		$66.07	$114.82	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $53.70 / $85.11	Professional	26	$32.36	$53.70	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $57.54 / $93.33	Professional	TC	$33.88	$57.54	$93.33
Health New England Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $263.03 / $630.96	Facility		$61.66	$263.03	$630.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $239.88	Professional		$42.66	$56.23	$239.88
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $117.49 / $891.25	Facility		$35.48	$117.49	$891.25
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $263.03 / $263.03	Facility	26	$70.79	$263.03	$263.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $114.82 / $954.99	Professional		$51.29	$114.82	$954.99
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $41.69 / $371.54	Professional	26	$26.30	$41.69	$371.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $57.54 / $758.58	Professional	TC	$25.70	$57.54	$758.58
Tufts Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $426.58	Facility		$398.11	$398.11	$426.58
Tufts Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $173.78	Professional		$64.57	$97.72	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $107.15 / $199.53	Facility		$28.18	$107.15	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $204.17	Professional		$60.26	$123.03	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $41.69 / $85.11	Professional	26	$29.51	$41.69	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $63.10 / $147.91	Professional	TC	$27.54	$63.10	$147.91