Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $70.79 / $100.00 / $309.03	Professional		$70.79	$100.00	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $239.88 / $831.76	Professional	26	$57.54	$239.88	$831.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $42.66 / $112.20	Professional	TC	$28.18	$42.66	$112.20
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	TC	$257.04	$257.04	$257.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $645.65	Professional		$67.61	$147.91	$645.65
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $97.72 / $380.19	Professional	26	$45.71	$97.72	$380.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $64.57 / $346.74	Professional	TC	$25.70	$64.57	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $275.42	Professional		$120.23	$204.17	$275.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $158.49	Professional	26	$69.18	$117.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $194.98	Professional		$53.70	$93.33	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $61.66 / $125.89	Professional	26	$31.62	$61.66	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.88 / $75.86	Professional	TC	$18.20	$33.88	$75.86
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 $53.70 / $91.20 / $177.83	Professional		$53.70	$91.20	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $295.12	Professional		$102.33	$199.53	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $128.82 / $181.97	Professional	26	$69.18	$128.82	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $83.18 / $117.49	Professional	TC	$43.65	$83.18	$117.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $457.09	Professional		$112.20	$186.21	$457.09
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	TC	$257.04	$257.04	$257.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $645.65	Professional		$69.18	$147.91	$645.65
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $97.72 / $380.19	Professional	26	$45.71	$97.72	$380.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $69.18 / $346.74	Professional	TC	$26.30	$69.18	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $34.67 / $239.88	Facility		$12.02	$34.67	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $269.15	Professional		$66.07	$117.49	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $70.79 / $162.18	Professional	26	$42.66	$70.79	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $46.77 / $109.65	Professional	TC	$25.12	$46.77	$109.65