Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $316.23	Professional		$87.10	$112.20	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $134.90	Professional	26	$67.61	$79.43	$134.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	52	$331.13	$331.13	$331.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $38.02	Professional	TC	$19.05	$30.20	$38.02
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $95.50 / $123.03	Facility	26	$83.18	$95.50	$123.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $467.74	Professional		$91.20	$138.04	$467.74
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $346.74	Professional	26	$69.18	$102.33	$346.74
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $213.80	Professional	TC	$22.39	$38.02	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Professional		$269.15	$269.15	$281.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $114.82 / $199.53	Professional	26	$87.10	$114.82	$199.53
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $63.10 / $72.44 / $144.54	Professional	52	$63.10	$72.44	$144.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $42.66 / $67.61	Professional	TC	$37.15	$42.66	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $323.59	Professional		$87.10	$134.90	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $107.15 / $218.78	Professional	26	$66.07	$107.15	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $37.15 / $95.50	Professional	TC	$21.38	$37.15	$95.50
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $69.18 / $154.88	Professional		$23.99	$69.18	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $275.42	Professional		$89.13	$138.04	$275.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $102.33 / $199.53	Professional	26	$67.61	$102.33	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.90 / $77.62	Professional	TC	$25.12	$38.90	$77.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $95.50 / $123.03	Facility	26	$83.18	$95.50	$123.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $467.74	Professional		$91.20	$138.04	$467.74
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $102.33 / $323.59	Professional	26	$69.18	$102.33	$323.59
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $38.02 / $213.80	Professional	TC	$22.39	$38.02	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $275.42	Professional		$85.11	$125.89	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $194.98	Professional	26	$66.07	$91.20	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $33.88 / $79.43	Professional	TC	$20.42	$33.88	$79.43