Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $428.81 / $733.05	Facility		$126.29	$428.81	$733.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.98 / $22.99 / $42.76	Facility	26	$22.98	$22.99	$42.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.97 / $150.79 / $391.66	Professional		$108.97	$150.79	$391.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $25.11 / $108.97	Professional	26	$19.89	$25.11	$108.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.16 / $134.63 / $279.19	Professional	TC	$97.16	$134.63	$279.19
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $261.76 / $334.71 / $709.37	Facility		$261.76	$334.71	$709.37
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $49.31 / $54.73 / $161.00	Facility	26	$49.31	$54.73	$161.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $298.74 / $1,256.91	Professional		$150.33	$298.74	$1,256.91
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.45 / $46.67 / $237.75	Professional	26	$21.45	$46.67	$237.75
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $128.12 / $278.22 / $1,145.18	Professional	TC	$128.12	$278.22	$1,145.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $203.03 / $269.67	Facility		$169.96	$203.03	$269.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.92 / $283.73 / $463.21	Professional		$167.92	$283.73	$463.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.64 / $42.25 / $56.14	Professional	26	$31.64	$42.25	$56.14
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $142.65 / $156.01 / $316.29	Professional	TC	$142.65	$156.01	$316.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $350.99 / $508.90	Facility		$135.38	$350.99	$508.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.48 / $21.48 / $21.48	Facility	26	$21.48	$21.48	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $263.39 / $465.54	Professional		$153.85	$263.39	$465.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.59 / $36.29 / $64.59	Professional	26	$22.59	$36.29	$64.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $130.72 / $233.02 / $423.79	Professional	TC	$130.72	$233.02	$423.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $125.06 / $276.64 / $6,679.00	Facility		$125.06	$276.64	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $96.41 / $225.90	Professional		$16.48	$96.41	$225.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.08 / $340.85 / $455.24	Professional		$174.08	$340.85	$455.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $53.73 / $71.76	Professional	26	$27.44	$53.73	$71.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $146.63 / $289.47 / $383.48	Professional	TC	$146.63	$289.47	$383.48
Health New England Facility/Professional Facility Modifier Low / Median / High Price $66.63 / $534.35 / $890.81	Facility		$66.63	$534.35	$890.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $47.98 / $247.97	Professional		$35.63	$47.98	$247.97
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $264.44 / $709.37 / $709.37	Facility		$264.44	$709.37	$709.37
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $52.93 / $161.00 / $161.00	Facility	26	$52.93	$161.00	$161.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $306.77 / $1,256.91	Professional		$161.79	$306.77	$1,256.91
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.54 / $46.90 / $237.75	Professional	26	$22.54	$46.90	$237.75
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $149.86 / $305.83 / $1,145.18	Professional	TC	$149.86	$305.83	$1,145.18
United Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $245.92 / $445.11	Professional		$159.91	$245.92	$445.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.79 / $32.63 / $66.06	Professional	26	$21.79	$32.63	$66.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.91 / $220.25 / $513.59	Professional	TC	$138.91	$220.25	$513.59