Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.09 / $171.09 / $414.78	Facility		$171.09	$171.09	$414.78
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $249.38 / $249.38 / $249.38	Facility	TC	$249.38	$249.38	$249.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $112.95 / $462.08	Professional		$77.22	$112.95	$462.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.91 / $61.51 / $260.58	Professional	26	$20.91	$61.51	$260.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $57.18 / $85.63 / $256.87	Professional	TC	$57.18	$85.63	$256.87
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $599.64 / $599.64 / $599.64	Facility		$599.64	$599.64	$599.64
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $127.87 / $127.87 / $127.87	Facility	26	$127.87	$127.87	$127.87
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $471.77 / $471.77 / $471.77	Facility	TC	$471.77	$471.77	$471.77
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $163.75 / $715.47	Professional		$74.26	$163.75	$715.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.97 / $41.69 / $162.69	Professional	26	$19.97	$41.69	$162.69
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $56.72 / $145.44 / $552.78	Professional	TC	$56.72	$145.44	$552.78
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 $138.97 / $227.90 / $308.74	Professional		$138.97	$227.90	$308.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.04 / $46.80 / $64.44	Professional	26	$28.04	$46.80	$64.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $102.85 / $174.19 / $237.91	Professional	TC	$102.85	$174.19	$237.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $95.66 / $197.66	Professional		$51.67	$95.66	$197.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.50 / $25.11 / $49.35	Professional	26	$13.50	$25.11	$49.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.40 / $66.76 / $155.53	Professional	TC	$39.40	$66.76	$155.53
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $123.72 / $206.31	Professional		$32.14	$123.72	$206.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $258.44 / $349.77	Professional		$137.22	$258.44	$349.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $59.61 / $80.40	Professional	26	$31.54	$59.61	$80.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $105.68 / $208.61 / $269.38	Professional	TC	$105.68	$208.61	$269.38
Health New England Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $27.50 / $129.54	Facility		$27.50	$27.50	$129.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $108.19 / $324.57	Professional		$44.41	$108.19	$324.57
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $599.64 / $599.64 / $599.64	Facility		$599.64	$599.64	$599.64
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $127.87 / $127.87 / $127.87	Facility	26	$127.87	$127.87	$127.87
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $471.77 / $471.77 / $471.77	Facility	TC	$471.77	$471.77	$471.77
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $158.44 / $715.47	Professional		$72.61	$158.44	$715.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.97 / $40.98 / $162.69	Professional	26	$19.97	$40.98	$162.69
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $56.68 / $119.10 / $552.78	Professional	TC	$56.68	$119.10	$552.78
Tufts Facility/Professional Facility Modifier Low / Median / High Price $61.59 / $110.66 / $153.78	Facility		$61.59	$110.66	$153.78
Tufts Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $142.37 / $248.63	Professional		$88.35	$142.37	$248.63
United Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $134.15 / $341.76	Professional		$59.14	$134.15	$341.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.05 / $28.73 / $62.19	Professional	26	$18.05	$28.73	$62.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.24 / $86.88 / $211.46	Professional	TC	$43.24	$86.88	$211.46