Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.71 / $352.59 / $617.33	Facility		$143.71	$352.59	$617.33
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.76 / $20.76 / $38.61	Facility	26	$20.76	$20.76	$38.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $197.99 / $588.66	Professional		$130.71	$197.99	$588.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.76 / $27.56 / $85.50	Professional	26	$20.76	$27.56	$85.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $60.14 / $72.20 / $110.11	Professional	52	$60.14	$72.20	$110.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.59 / $157.09 / $271.43	Professional	TC	$110.59	$157.09	$271.43
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $259.14 / $335.51 / $696.92	Facility		$259.14	$335.51	$696.92
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $46.86 / $52.01 / $176.87	Facility	26	$46.86	$52.01	$176.87
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $268.12 / $1,205.33	Professional		$134.97	$268.12	$1,205.33
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.48 / $42.81 / $310.41	Professional	26	$21.48	$42.81	$310.41
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $115.23 / $251.86 / $1,077.52	Professional	TC	$115.23	$251.86	$1,077.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.38 / $245.33 / $325.87	Facility		$205.38	$245.33	$325.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.96 / $290.56 / $497.56	Professional		$215.96	$290.56	$497.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $39.69 / $52.74	Professional	26	$28.27	$39.69	$52.74
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $124.64 / $143.22 / $318.48	Professional	52	$124.64	$143.22	$318.48
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $127.18 / $145.77 / $225.54	Professional	TC	$127.18	$145.77	$225.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.79 / $418.03 / $556.50	Facility		$157.79	$418.03	$556.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.89 / $24.89 / $24.89	Facility	26	$24.89	$24.89	$24.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $245.11 / $436.95	Professional		$140.52	$245.11	$436.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $36.72 / $60.72	Professional	26	$22.99	$36.72	$60.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.13 / $222.06 / $383.73	Professional	TC	$118.13	$222.06	$383.73
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $251.86 / $6,679.00	Facility		$113.85	$251.86	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $88.15 / $211.49	Professional		$15.44	$88.15	$211.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $159.33 / $314.52 / $416.66	Professional		$159.33	$314.52	$416.66
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $50.52 / $67.47	Professional	26	$25.80	$50.52	$67.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $133.53 / $263.58 / $349.19	Professional	TC	$133.53	$263.58	$349.19
Health New England Facility/Professional Facility Modifier Low / Median / High Price $201.63 / $372.80 / $896.21	Facility		$201.63	$372.80	$896.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $42.82 / $204.88	Professional		$33.54	$42.82	$204.88
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $259.14 / $696.92 / $696.92	Facility		$259.14	$696.92	$696.92
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $48.94 / $176.87 / $176.87	Facility	26	$48.94	$176.87	$176.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $279.08 / $1,205.33	Professional		$157.72	$279.08	$1,205.33
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $44.22 / $310.41	Professional	26	$22.74	$44.22	$310.41
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $133.51 / $274.02 / $1,077.52	Professional	TC	$133.51	$274.02	$1,077.52
Tufts Facility/Professional Facility Modifier Low / Median / High Price $211.19 / $263.98 / $302.87	Facility		$211.19	$263.98	$302.87
United Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $220.81 / $396.65	Professional		$144.40	$220.81	$396.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $35.97 / $80.39	Professional	26	$22.74	$35.97	$80.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.51 / $202.78 / $337.97	Professional	TC	$133.51	$202.78	$337.97