Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $239.88 / $691.83	Facility		$229.09	$239.88	$691.83
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	TC	$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $426.58	Professional		$64.57	$117.49	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $70.79 / $371.54	Professional	26	$26.92	$70.79	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $70.79 / $338.84	Professional	TC	$43.65	$70.79	$338.84
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 $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	TC	$436.52	$436.52	$436.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $158.49 / $660.69	Professional		$69.18	$158.49	$660.69
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $69.18 / $275.42	Professional	26	$31.62	$69.18	$275.42
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $120.23 / $426.58	Professional	TC	$44.67	$120.23	$426.58
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 $138.04 / $229.09 / $316.23	Professional		$138.04	$229.09	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $66.07 / $89.13	Professional	26	$38.90	$66.07	$89.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $162.18 / $229.09	Professional	TC	$100.00	$162.18	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $125.89	Facility		$53.70	$53.70	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $218.78	Professional		$53.70	$93.33	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $33.11 / $75.86	Professional	26	$17.78	$33.11	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $56.23 / $144.54	Professional	TC	$37.15	$56.23	$144.54
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $117.49 / $213.80	Professional		$42.66	$117.49	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $338.84	Professional		$120.23	$234.42	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $69.18 / $100.00	Professional	26	$39.81	$69.18	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $162.18 / $234.42	Professional	TC	$85.11	$162.18	$234.42
Health New England Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $316.23	Professional		$56.23	$112.20	$316.23
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 $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	TC	$436.52	$436.52	$436.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $660.69	Professional		$72.44	$158.49	$660.69
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $70.79 / $275.42	Professional	26	$31.62	$70.79	$275.42
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $128.82 / $426.58	Professional	TC	$45.71	$128.82	$426.58
Tufts Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $436.52	Facility		$81.28	$81.28	$436.52
Tufts Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $234.42	Professional		$81.28	$112.20	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $66.07 / $239.88	Facility		$19.50	$66.07	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $302.00	Professional		$64.57	$131.83	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $43.65 / $95.50	Professional	26	$23.99	$43.65	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $91.20 / $213.80	Professional	TC	$44.67	$91.20	$213.80