Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.33 / $228.33 / $684.98	Facility		$228.33	$228.33	$684.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $228.33 / $228.33 / $228.33	Facility	TC	$228.33	$228.33	$228.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $102.79 / $450.00	Professional		$70.81	$102.79	$450.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $63.84 / $316.68	Professional	26	$27.00	$63.84	$316.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.99 / $65.48 / $201.19	Professional	TC	$46.99	$65.48	$201.19
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $600.35 / $600.35 / $600.35	Facility		$600.35	$600.35	$600.35
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $170.73 / $170.73 / $170.73	Facility	26	$170.73	$170.73	$170.73
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $432.16 / $432.16 / $432.16	Facility	TC	$432.16	$432.16	$432.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $168.85 / $661.34	Professional		$72.41	$168.85	$661.34
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.29 / $71.40 / $278.39	Professional	26	$31.29	$71.40	$278.39
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $45.93 / $129.54 / $424.71	Professional	TC	$45.93	$129.54	$424.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.89 / $206.89 / $206.89	Facility		$206.89	$206.89	$206.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $228.03 / $302.55	Professional		$116.64	$228.03	$302.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.73 / $65.09 / $99.50	Professional	26	$46.73	$65.09	$99.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.12 / $164.18 / $217.83	Professional	TC	$100.12	$164.18	$217.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $93.82 / $211.48	Professional		$53.33	$93.82	$211.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $33.13 / $71.08	Professional	26	$18.23	$33.13	$71.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.53 / $56.60 / $143.32	Professional	TC	$35.53	$56.60	$143.32
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $113.27 / $207.28	Professional		$42.25	$113.27	$207.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $259.98 / $351.86	Professional		$138.04	$259.98	$351.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.37 / $77.92 / $105.45	Professional	26	$41.37	$77.92	$105.45
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $96.67 / $183.38 / $246.41	Professional	TC	$96.67	$183.38	$246.41
Health New England Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $47.00 / $47.00	Facility		$47.00	$47.00	$47.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $119.51 / $294.77	Professional		$54.27	$119.51	$294.77
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $600.35 / $600.35 / $600.35	Facility		$600.35	$600.35	$600.35
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $170.73 / $170.73 / $170.73	Facility	26	$170.73	$170.73	$170.73
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $432.16 / $432.16 / $432.16	Facility	TC	$432.16	$432.16	$432.16
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $66.67 / $152.81 / $661.34	Professional		$66.67	$152.81	$661.34
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $29.61 / $55.22 / $278.39	Professional	26	$29.61	$55.22	$278.39
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $46.13 / $105.57 / $424.71	Professional	TC	$46.13	$105.57	$424.71
Tufts Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $192.94 / $481.77	Facility		$81.79	$192.94	$481.77
Tufts Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $121.96 / $214.07	Professional		$89.97	$121.96	$214.07
United Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $133.22 / $319.52	Professional		$64.95	$133.22	$319.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.98 / $39.97 / $85.36	Professional	26	$23.98	$39.97	$85.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.73 / $77.42 / $178.80	Professional	TC	$44.73	$77.42	$178.80