Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.19 / $158.19 / $522.04	Facility		$158.19	$158.19	$522.04
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $200.48 / $200.48 / $200.48	Facility	TC	$200.48	$200.48	$200.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $124.34 / $737.10	Professional		$53.21	$124.34	$737.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $90.48 / $855.40	Professional	26	$18.78	$90.48	$855.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.11 / $47.39 / $176.65	Professional	TC	$37.11	$47.39	$176.65
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $516.33 / $516.33 / $516.33	Facility		$516.33	$516.33	$516.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $136.56 / $136.56 / $136.56	Facility	26	$136.56	$136.56	$136.56
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $379.76 / $379.76 / $379.76	Facility	TC	$379.76	$379.76	$379.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $125.41 / $559.76	Professional		$65.44	$125.41	$559.76
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.28 / $36.40 / $173.52	Professional	26	$19.28	$36.40	$173.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $45.77 / $90.56 / $386.24	Professional	TC	$45.77	$90.56	$386.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.65 / $143.65 / $143.65	Facility		$143.65	$143.65	$143.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $196.05 / $265.58	Professional		$119.55	$196.05	$265.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.99 / $52.05 / $70.29	Professional	26	$34.99	$52.05	$70.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.91 / $144.16 / $191.27	Professional	TC	$87.91	$144.16	$191.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $80.97 / $177.66	Professional		$43.23	$80.97	$177.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $24.23 / $47.02	Professional	26	$13.38	$24.23	$47.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.28 / $56.93 / $125.03	Professional	TC	$32.28	$56.93	$125.03
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $99.46 / $177.97	Professional		$34.32	$99.46	$177.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $236.08 / $309.55	Professional		$107.02	$236.08	$309.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $62.98 / $85.25	Professional	26	$33.59	$62.98	$85.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $84.79 / $160.25 / $216.13	Professional	TC	$84.79	$160.25	$216.13
Health New England Facility/Professional Facility Modifier Low / Median / High Price $135.13 / $135.13 / $135.13	Facility		$135.13	$135.13	$135.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $176.25 / $668.10	Professional		$43.52	$176.25	$668.10
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $516.33 / $516.33 / $516.33	Facility		$516.33	$516.33	$516.33
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $136.56 / $136.56 / $136.56	Facility	26	$136.56	$136.56	$136.56
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $379.76 / $379.76 / $379.76	Facility	TC	$379.76	$379.76	$379.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $109.07 / $559.76	Professional		$57.10	$109.07	$559.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.62 / $32.21 / $173.52	Professional	26	$16.62	$32.21	$173.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $39.24 / $79.45 / $386.24	Professional	TC	$39.24	$79.45	$386.24
Tufts Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $51.46 / $67.48	Facility		$49.01	$51.46	$67.48
Tufts Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $102.96 / $183.59	Professional		$58.79	$102.96	$183.59
United Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $99.35 / $233.97	Professional		$54.03	$99.35	$233.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.62 / $30.62 / $65.09	Professional	26	$16.62	$30.62	$65.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.57 / $68.73 / $164.30	Professional	TC	$38.57	$68.73	$164.30