Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $245.47	Professional		$51.29	$77.62	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.84 / $102.33	Professional	26	$20.89	$28.84	$102.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $34.67 / $72.44	Professional	TC	$25.70	$34.67	$72.44
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $72.44 / $109.65	Facility		$33.11	$72.44	$109.65
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Facility	26	$28.84	$28.84	$28.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $407.38	Professional		$50.12	$85.11	$407.38
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $35.48 / $165.96	Professional	26	$19.95	$35.48	$165.96
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $54.95 / $263.03	Professional	TC	$30.90	$54.95	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $112.20	Professional		$60.26	$83.18	$112.20
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $40.74 / $54.95	Professional	52	$30.20	$40.74	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $186.21	Professional		$48.98	$79.43	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $31.62 / $75.86	Professional	26	$18.62	$31.62	$75.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $47.86 / $112.20	Professional	TC	$26.92	$47.86	$112.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $66.07	Facility		$26.92	$38.90	$66.07
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $97.72	Professional		$20.42	$43.65	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $169.82	Professional		$52.48	$83.18	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $34.67 / $69.18	Professional	26	$21.88	$34.67	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $50.12 / $100.00	Professional	TC	$30.90	$50.12	$100.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $104.71	Professional		$61.66	$61.66	$104.71
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $72.44 / $109.65	Facility		$33.11	$72.44	$109.65
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $28.84 / $28.84	Facility	26	$28.84	$28.84	$28.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $407.38	Professional		$50.12	$85.11	$407.38
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $35.48 / $165.96	Professional	26	$19.95	$35.48	$165.96
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $53.70 / $263.03	Professional	TC	$30.90	$53.70	$263.03
Tufts Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Facility		$48.98	$48.98	$67.61
Tufts Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $123.03	Professional		$56.23	$85.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $151.36	Professional		$46.77	$77.62	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $31.62 / $63.10	Professional	26	$17.78	$31.62	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $45.71 / $93.33	Professional	TC	$27.54	$45.71	$93.33