Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $100.00	Professional		$25.12	$53.70	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $17.38 / $44.67	Professional	26	$5.89	$17.38	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $42.66 / $134.90	Professional	TC	$18.20	$42.66	$134.90
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $60.26 / $269.15	Professional		$23.44	$60.26	$269.15
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $10.72 / $144.54	Professional	26	$5.01	$10.72	$144.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $52.48 / $234.42	Professional	TC	$23.99	$52.48	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $95.50	Professional		$41.69	$69.18	$95.50
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.18 / $17.38	Professional	26	$7.59	$13.18	$17.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $57.54 / $77.62	Professional	TC	$33.88	$57.54	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $72.44	Professional		$18.20	$30.90	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.47 / $6.61 / $14.13	Professional	26	$3.47	$6.61	$14.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $26.30 / $64.57	Professional	TC	$14.13	$26.30	$64.57
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $37.15 / $63.10	Professional		$8.51	$37.15	$63.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $102.33	Professional		$36.31	$69.18	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.13 / $19.95	Professional	26	$7.94	$14.13	$19.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $57.54 / $81.28	Professional	TC	$30.90	$57.54	$81.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.88 / $114.82	Professional		$11.22	$21.88	$114.82
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $58.88 / $269.15	Professional		$25.70	$58.88	$269.15
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $10.72 / $144.54	Professional	26	$5.01	$10.72	$144.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $52.48 / $234.42	Professional	TC	$23.99	$52.48	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $19.50 / $60.26	Facility		$3.89	$19.50	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $91.20	Professional		$21.88	$42.66	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.68 / $8.13 / $18.62	Professional	26	$4.68	$8.13	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $34.67 / $72.44	Professional	TC	$17.78	$34.67	$72.44