Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.87 / $272.80 / $695.96	Facility		$72.87	$272.80	$695.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $20.61 / $77.29	Facility	26	$20.60	$20.61	$77.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $82.80 / $344.00	Professional		$67.84	$82.80	$344.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $30.34 / $98.50	Professional	26	$20.61	$30.34	$98.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.58 / $52.26 / $178.24	Professional	TC	$48.58	$52.26	$178.24
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $133.94 / $312.35 / $609.85	Facility		$133.94	$312.35	$609.85
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $29.54 / $62.80 / $136.28	Facility	26	$29.54	$62.80	$136.28
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $172.95 / $752.82	Professional		$92.16	$172.95	$752.82
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $41.59 / $169.69	Professional	26	$22.83	$41.59	$169.69
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $72.25 / $148.07 / $583.14	Professional	TC	$72.25	$148.07	$583.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.23 / $200.97 / $356.25	Facility		$113.23	$200.97	$356.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.54 / $49.78 / $67.22	Professional	26	$43.54	$49.78	$67.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.61 / $107.37 / $147.46	Professional	TC	$82.61	$107.37	$147.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.06 / $173.33 / $185.38	Facility		$165.06	$173.33	$185.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $255.49 / $399.28	Professional		$152.53	$255.49	$399.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $54.72 / $84.05	Professional	26	$33.49	$54.72	$84.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.36 / $201.71 / $299.58	Professional	TC	$108.36	$201.71	$299.58
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $89.83 / $202.70 / $6,679.00	Facility		$89.83	$202.70	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $128.12 / $197.06	Professional		$33.92	$128.12	$197.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $276.88 / $351.55	Professional		$139.66	$276.88	$351.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $64.15 / $81.45	Professional	26	$32.36	$64.15	$81.45
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $107.32 / $212.75 / $270.12	Professional	TC	$107.32	$212.75	$270.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $156.34 / $265.22 / $1,336.60	Facility		$156.34	$265.22	$1,336.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $80.31 / $247.00	Professional		$41.06	$80.31	$247.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $242.65 / $242.65 / $609.85	Facility		$242.65	$242.65	$609.85
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $62.05 / $62.05 / $136.28	Facility	26	$62.05	$62.05	$136.28
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.56 / $752.82	Professional		$85.11	$162.56	$752.82
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.15 / $42.44 / $169.69	Professional	26	$25.15	$42.44	$169.69
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $59.52 / $148.07 / $583.14	Professional	TC	$59.52	$148.07	$583.14
Tufts Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $59.80 / $59.80	Professional		$59.80	$59.80	$59.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $148.72 / $343.95	Professional		$83.97	$148.72	$343.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.15 / $36.93 / $65.33	Professional	26	$25.15	$36.93	$65.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.82 / $112.93 / $236.86	Professional	TC	$58.82	$112.93	$236.86