Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $248.04 / $331.34	Facility		$89.80	$248.04	$331.34
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.21 / $30.22 / $56.19	Facility	26	$30.21	$30.22	$56.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $92.17 / $232.31	Professional		$55.58	$92.17	$232.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.10 / $36.76 / $80.97	Professional	26	$28.10	$36.76	$80.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $209.18 / $279.64 / $279.64	Professional	50	$209.18	$279.64	$279.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.55 / $43.23 / $52.67	Professional	52	$19.55	$43.23	$52.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.05 / $59.03 / $101.42	Professional	TC	$21.05	$59.03	$101.42
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $162.87 / $267.77	Facility		$69.08	$162.87	$267.77
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $67.25 / $74.64 / $149.91	Facility	26	$67.25	$74.64	$149.91
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $109.07 / $472.92	Professional		$53.19	$109.07	$472.92
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.63 / $57.16 / $188.73	Professional	26	$26.63	$57.16	$188.73
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.62 / $48.43 / $323.00	Professional	TC	$20.62	$48.43	$323.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $192.15 / $245.85	Facility		$165.73	$192.15	$245.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.64 / $103.70 / $184.55	Professional		$50.64	$103.70	$184.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.78 / $46.54 / $88.40	Professional	26	$25.78	$46.54	$88.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $49.60 / $117.36	Professional	TC	$18.07	$49.60	$117.36
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $53.00 / $8,090.00	Facility		$21.13	$53.00	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $32.03 / $72.37	Professional		$13.53	$32.03	$72.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $114.00 / $151.02	Professional		$57.75	$114.00	$151.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.45 / $71.37 / $91.74	Professional	26	$36.45	$71.37	$91.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.30 / $42.05 / $53.61	Professional	TC	$21.30	$42.05	$53.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $112.08 / $120.22	Professional		$73.19	$112.08	$120.22
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $267.77 / $267.77	Facility		$100.79	$267.77	$267.77
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $68.52 / $149.91 / $149.91	Facility	26	$68.52	$149.91	$149.91
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $121.82 / $472.92	Professional		$63.52	$121.82	$472.92
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $29.60 / $57.16 / $188.73	Professional	26	$29.60	$57.16	$188.73
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $31.76 / $61.64 / $323.00	Professional	TC	$31.76	$61.64	$323.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $103.85 / $149.63	Professional		$58.67	$103.85	$149.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.25 / $43.04 / $79.59	Professional	26	$29.25	$43.04	$79.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.85 / $47.16 / $86.24	Professional	TC	$27.85	$47.16	$86.24