Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $295.12 / $691.83	Facility		$87.10	$295.12	$691.83
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $27.54 / $107.15	Facility	26	$19.95	$27.54	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $398.11	Professional		$67.61	$117.49	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $37.15 / $141.25	Professional	26	$21.88	$37.15	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $81.28 / $218.78	Professional	TC	$50.12	$81.28	$218.78
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $316.23 / $758.58	Facility		$112.20	$316.23	$758.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $66.07 / $169.82	Facility	26	$29.51	$66.07	$169.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $416.87	Professional		$91.20	$147.91	$416.87
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $35.48 / $169.82	Professional	26	$21.38	$35.48	$169.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $117.49 / $588.84	Professional	TC	$72.44	$117.49	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $245.47	Facility		$131.83	$165.96	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $363.08	Professional		$190.55	$269.15	$363.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $51.29 / $69.18	Professional	26	$42.66	$51.29	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $204.17	Facility		$169.82	$181.97	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $398.11	Professional		$91.20	$186.21	$398.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $53.70 / $83.18	Professional	26	$28.18	$53.70	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $169.82 / $302.00	Professional	TC	$70.79	$169.82	$302.00
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $173.78 / $7,079.46	Facility		$83.18	$173.78	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $141.25 / $213.80	Professional		$35.48	$141.25	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $323.59	Professional		$125.89	$213.80	$323.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $47.86 / $72.44	Professional	26	$27.54	$47.86	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $165.96 / $251.19	Professional	TC	$97.72	$165.96	$251.19
Health New England Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $269.15 / $1,258.93	Facility		$95.50	$269.15	$1,258.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $64.57	Professional		$47.86	$47.86	$64.57
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $316.23 / $758.58	Facility		$112.20	$316.23	$758.58
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $66.07 / $169.82	Facility	26	$29.51	$66.07	$169.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $416.87	Professional		$91.20	$141.25	$416.87
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $33.88 / $169.82	Professional	26	$21.38	$33.88	$169.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $112.20 / $588.84	Professional	TC	$72.44	$112.20	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $47.86 / $67.61	Facility		$20.42	$47.86	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $323.59	Professional		$83.18	$151.36	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $37.15 / $74.13	Professional	26	$25.70	$37.15	$74.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $117.49 / $257.04	Professional	TC	$58.88	$117.49	$257.04