Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.27 / $77.19 / $200.00	Professional		$56.27	$77.19	$200.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.73 / $28.88 / $78.81	Professional	26	$22.73	$28.88	$78.81
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.04 / $32.52 / $43.93	Professional	52	$26.04	$32.52	$43.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.02 / $40.00 / $72.93	Professional	TC	$30.02	$40.00	$72.93
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $72.92 / $109.38	Facility		$32.97	$72.92	$109.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.80 / $28.80 / $28.80	Facility	26	$28.80	$28.80	$28.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $91.15 / $403.38	Professional		$53.38	$91.15	$403.38
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $36.88 / $167.21	Professional	26	$20.39	$36.88	$167.21
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.61 / $57.37 / $264.83	Professional	TC	$32.61	$57.37	$264.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $78.77 / $110.83	Professional		$60.45	$78.77	$110.83
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $30.23 / $39.39 / $55.42	Professional	52	$30.23	$39.39	$55.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $84.10 / $196.17	Professional		$49.05	$84.10	$196.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.93 / $32.53 / $77.45	Professional	26	$18.93	$32.53	$77.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.77 / $53.97 / $118.70	Professional	TC	$27.77	$53.97	$118.70
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $37.67 / $63.98	Facility		$26.32	$37.67	$63.98
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $41.86 / $89.57	Professional		$19.77	$41.86	$89.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $90.57 / $171.46	Professional		$50.32	$90.57	$171.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $41.94 / $71.84	Professional	26	$21.03	$41.94	$71.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.29 / $60.24 / $100.04	Professional	TC	$29.29	$60.24	$100.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $62.08 / $134.87	Professional		$62.08	$62.08	$134.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $91.17 / $403.38	Professional		$54.60	$91.17	$403.38
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $36.88 / $167.21	Professional	26	$19.78	$36.88	$167.21
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $32.47 / $55.72 / $264.83	Professional	TC	$32.47	$55.72	$264.83
Tufts Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $80.43 / $83.97	Facility		$48.53	$80.43	$83.97
Tufts Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $87.50 / $136.40	Professional		$55.81	$87.50	$136.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $84.67 / $152.18	Professional		$50.60	$84.67	$152.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.89 / $34.77 / $63.95	Professional	26	$18.89	$34.77	$63.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $49.33 / $97.97	Professional	TC	$29.56	$49.33	$97.97