Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	TC	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $169.82	Professional		$50.12	$81.28	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $48.98 / $199.53	Professional	26	$20.89	$48.98	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $47.86 / $204.17	Professional	TC	$28.84	$47.86	$204.17
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	TC	$251.19	$251.19	$251.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $645.65	Professional		$67.61	$134.90	$645.65
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $60.26 / $512.86	Professional	26	$26.92	$60.26	$512.86
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $72.44 / $323.59	Professional	TC	$33.88	$72.44	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $190.55	Professional		$83.18	$138.04	$190.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $52.48 / $70.79	Professional	26	$30.90	$52.48	$70.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $87.10 / $120.23	Professional	TC	$52.48	$87.10	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $158.49	Facility		$141.25	$141.25	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $169.82	Professional		$38.02	$67.61	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $26.92 / $81.28	Professional	26	$14.13	$26.92	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $91.20	Professional	TC	$21.88	$35.48	$91.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $120.23	Professional		$33.88	$63.10	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $199.53	Professional		$67.61	$134.90	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $54.95 / $77.62	Professional	26	$31.62	$54.95	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $85.11 / $120.23	Professional	TC	$47.86	$85.11	$120.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $66.07 / $177.83	Professional		$27.54	$66.07	$177.83
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	26	$27.54	$27.54	$27.54
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	TC	$251.19	$251.19	$251.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $645.65	Professional		$67.61	$134.90	$645.65
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $58.88 / $512.86	Professional	26	$28.18	$58.88	$512.86
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $72.44 / $323.59	Professional	TC	$38.02	$72.44	$323.59
Tufts Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $138.04	Facility		$51.29	$79.43	$138.04
Tufts Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $141.25	Professional		$60.26	$87.10	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $39.81 / $74.13	Facility		$15.49	$39.81	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $186.21	Professional		$54.95	$97.72	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $41.69 / $81.28	Professional	26	$24.55	$41.69	$81.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $53.70 / $117.49	Professional	TC	$28.18	$53.70	$117.49