Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.27 / $206.80 / $723.79	Facility		$103.27	$206.80	$723.79
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $103.40 / $103.40 / $103.40	Facility	TC	$103.40	$103.40	$103.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $117.42 / $719.55	Professional		$56.37	$117.42	$719.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.71 / $127.63 / $865.91	Professional	26	$31.71	$127.63	$865.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.73 / $28.79 / $52.87	Professional	52	$23.73	$28.79	$52.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.51 / $72.36 / $442.60	Professional	TC	$27.51	$72.36	$442.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $375.35 / $375.35 / $375.35	Facility		$375.35	$375.35	$375.35
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $179.84 / $179.84 / $179.84	Facility	26	$179.84	$179.84	$179.84
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $216.27 / $216.27 / $216.27	Facility	TC	$216.27	$216.27	$216.27
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $126.33 / $563.97	Professional		$54.92	$126.33	$563.97
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $59.01 / $292.24	Professional	26	$28.10	$59.01	$292.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.11 / $73.26 / $359.07	Professional	TC	$32.11	$73.26	$359.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $72.88 / $72.88	Facility		$72.88	$72.88	$72.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $121.93 / $180.61	Professional		$12.20	$121.93	$180.61
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $49.58 / $68.48 / $92.48	Professional	26	$49.58	$68.48	$92.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.77 / $74.56 / $100.70	Professional	TC	$52.77	$74.56	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $69.70 / $141.63	Professional		$39.64	$69.70	$141.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $32.61 / $70.00	Professional	26	$18.98	$32.61	$70.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.67 / $36.40 / $75.86	Professional	TC	$19.67	$36.40	$75.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $62.92 / $119.02	Professional		$42.04	$62.92	$119.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $165.11 / $224.46	Professional		$88.06	$165.11	$224.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.24 / $83.32 / $112.77	Professional	26	$44.24	$83.32	$112.77
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $43.83 / $82.18 / $111.72	Professional	TC	$43.83	$82.18	$111.72
Health New England Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $79.29 / $86.50	Facility		$71.00	$79.29	$86.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $133.87 / $1,169.59	Professional		$57.64	$133.87	$1,169.59
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $375.35 / $375.35 / $375.35	Facility		$375.35	$375.35	$375.35
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $179.84 / $179.84 / $179.84	Facility	26	$179.84	$179.84	$179.84
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $216.27 / $216.27 / $216.27	Facility	TC	$216.27	$216.27	$216.27
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $126.33 / $563.97	Professional		$60.74	$126.33	$563.97
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $57.00 / $292.24	Professional	26	$28.10	$57.00	$292.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $32.11 / $73.26 / $359.07	Professional	TC	$32.11	$73.26	$359.07
Tufts Facility/Professional Facility Modifier Low / Median / High Price $54.92 / $88.22 / $153.78	Facility		$54.92	$88.22	$153.78
Tufts Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $97.92 / $142.15	Professional		$74.09	$97.92	$142.15
United Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $80.87 / $172.69	Professional		$48.52	$80.87	$172.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $42.21 / $89.06	Professional	26	$25.62	$42.21	$89.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.96 / $51.29 / $110.60	Professional	TC	$24.96	$51.29	$110.60