Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.66 / $209.35 / $346.79	Facility		$80.66	$209.35	$346.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.21 / $23.21 / $23.21	Facility	26	$23.21	$23.21	$23.21
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $57.46 / $253.54 / $350.49	Facility	TC	$57.46	$253.54	$350.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $80.15 / $186.00	Professional		$38.85	$80.15	$186.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.59 / $71.59 / $71.59	Professional	25	$71.59	$71.59	$71.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $24.77 / $71.20	Professional	26	$20.23	$24.77	$71.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.42 / $234.74 / $281.35	Professional	50	$85.42	$234.74	$281.35
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.30 / $37.50 / $40.98	Professional	52	$14.30	$37.50	$40.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.49 / $52.99 / $84.05	Professional	TC	$14.49	$52.99	$84.05
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $66.40 / $128.47 / $267.02	Facility		$66.40	$128.47	$267.02
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $46.63 / $51.75 / $101.79	Facility	26	$46.63	$51.75	$101.79
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $38.97 / $52.28 / $141.03	Facility	TC	$38.97	$52.28	$141.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $87.83 / $414.44	Professional		$40.84	$87.83	$414.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.87 / $39.53 / $130.60	Professional	26	$20.87	$39.53	$130.60
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $44.83 / $293.07	Professional	TC	$19.82	$44.83	$293.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.84 / $192.15 / $245.73	Facility		$156.84	$192.15	$245.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $72.64 / $106.41	Professional		$44.30	$72.64	$106.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.07 / $40.45 / $56.69	Professional	26	$30.07	$40.45	$56.69
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $26.38 / $38.11 / $53.21	Professional	52	$26.38	$38.11	$53.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.65 / $33.94 / $49.72	Professional	TC	$24.65	$33.94	$49.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $84.51 / $152.99	Professional		$37.78	$84.51	$152.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.20 / $34.40 / $61.47	Professional	26	$20.20	$34.40	$61.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.18 / $45.51 / $102.44	Professional	TC	$17.18	$45.51	$102.44
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $53.00 / $8,090.00	Facility		$19.91	$53.00	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $25.47 / $56.44	Professional		$12.07	$25.47	$56.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $85.48 / $117.84	Professional		$43.69	$85.48	$117.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $24.99 / $50.33 / $65.25	Professional	26	$24.99	$50.33	$65.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $20.07 / $39.79 / $52.49	Professional	TC	$20.07	$39.79	$52.49
Health New England Facility/Professional Facility Modifier Low / Median / High Price $160.08 / $181.68 / $282.08	Facility		$160.08	$181.68	$282.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $64.83 / $119.98	Professional		$31.96	$64.83	$119.98
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $232.02 / $232.02	Facility		$77.98	$232.02	$232.02
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $47.60 / $101.79 / $101.79	Facility	26	$47.60	$101.79	$101.79
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $52.28 / $141.03 / $141.03	Facility	TC	$52.28	$141.03	$141.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $92.84 / $414.44	Professional		$46.86	$92.84	$414.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.01 / $40.75 / $130.60	Professional	26	$22.01	$40.75	$130.60
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $51.25 / $293.07	Professional	TC	$23.82	$51.25	$293.07
Tufts Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $67.16 / $214.31	Facility		$31.54	$67.16	$214.31
Tufts Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $73.29	Professional		$70.20	$70.20	$73.29
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $73.59 / $119.43	Professional		$45.83	$73.59	$119.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.31 / $29.96 / $54.79	Professional	26	$21.31	$29.96	$54.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $37.76 / $74.01	Professional	TC	$23.82	$37.76	$74.01