Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.00 / $478.00 / $866.51	Facility		$293.00	$478.00	$866.51
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.10 / $37.10 / $69.01	Facility	26	$37.10	$37.10	$69.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $198.37 / $787.07 / $2,274.06	Facility	TC	$198.37	$787.07	$2,274.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.31 / $245.26 / $698.27	Professional		$189.31	$245.26	$698.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $37.99 / $112.89	Professional	26	$26.96	$37.99	$112.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $215.21 / $215.21 / $215.21	Professional	50	$215.21	$215.21	$215.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $162.34 / $198.37 / $481.99	Professional	TC	$162.34	$198.37	$481.99
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $473.60 / $630.55 / $1,272.43	Facility		$473.60	$630.55	$1,272.43
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.25 / $90.18 / $205.00	Facility	26	$81.25	$90.18	$205.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $399.93 / $540.38 / $1,093.97	Facility	TC	$399.93	$540.38	$1,093.97
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $500.11 / $2,005.68	Professional		$252.50	$500.11	$2,005.68
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $32.60 / $75.26 / $399.57	Professional	26	$32.60	$75.26	$399.57
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $219.19 / $468.31 / $1,840.24	Professional	TC	$219.19	$468.31	$1,840.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.29 / $416.06 / $552.63	Facility		$348.29	$416.06	$552.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $498.37 / $735.92	Professional		$313.77	$498.37	$735.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.17 / $69.66 / $92.57	Professional	26	$52.17	$69.66	$92.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.34 / $272.11 / $499.43	Professional	TC	$246.34	$272.11	$499.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.43 / $646.69 / $838.69	Facility		$249.43	$646.69	$838.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.96 / $31.96 / $31.96	Facility	26	$31.96	$31.96	$31.96
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $217.47 / $217.47 / $217.47	Facility	TC	$217.47	$217.47	$217.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.43 / $436.20 / $758.70	Professional		$249.43	$436.20	$758.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $57.91 / $105.97	Professional	26	$35.72	$57.91	$105.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $217.47 / $388.61 / $663.37	Professional	TC	$217.47	$388.61	$663.37
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $462.30 / $6,679.00	Facility		$208.00	$462.30	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $161.81 / $376.80	Professional		$27.12	$161.81	$376.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $572.46 / $758.38	Professional		$290.00	$572.46	$758.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $88.23 / $117.84	Professional	26	$45.06	$88.23	$117.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $244.94 / $479.59 / $640.54	Professional	TC	$244.94	$479.59	$640.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $628.54 / $923.30	Facility		$107.24	$628.54	$923.30
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $75.69 / $437.03	Professional		$56.45	$75.69	$437.03
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $473.60 / $1,272.43 / $1,272.43	Facility		$473.60	$1,272.43	$1,272.43
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $86.56 / $205.00 / $205.00	Facility	26	$86.56	$205.00	$205.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $399.93 / $1,093.97 / $1,093.97	Facility	TC	$399.93	$1,093.97	$1,093.97
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $264.10 / $518.66 / $2,005.68	Professional		$264.10	$518.66	$2,005.68
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $33.49 / $75.98 / $399.57	Professional	26	$33.49	$75.98	$399.57
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $249.52 / $498.78 / $1,840.24	Professional	TC	$249.52	$498.78	$1,840.24
United Facility/Professional Professional Modifier Low / Median / High Price $264.10 / $387.88 / $755.03	Professional		$264.10	$387.88	$755.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.60 / $54.06 / $114.36	Professional	26	$32.60	$54.06	$114.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $232.58 / $387.16 / $648.26	Professional	TC	$232.58	$387.16	$648.26