Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.31 / $575.54 / $1,077.64	Facility		$269.31	$575.54	$1,077.64
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.71 / $32.71 / $59.65	Facility	26	$32.71	$32.71	$59.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $171.43 / $787.07 / $1,953.12	Facility	TC	$171.43	$787.07	$1,953.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $243.18 / $1,037.00	Professional		$183.68	$243.18	$1,037.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.11 / $43.12 / $149.21	Professional	26	$32.11	$43.12	$149.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $183.36 / $422.48	Professional	TC	$151.80	$183.36	$422.48
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $370.07 / $561.12 / $991.94	Facility		$370.07	$561.12	$991.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $72.33 / $80.27 / $212.00	Facility	26	$72.33	$80.27	$212.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $305.67 / $413.50 / $836.05	Facility	TC	$305.67	$413.50	$836.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $387.74 / $1,622.16	Professional		$198.85	$387.74	$1,622.16
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $32.82 / $66.40 / $889.65	Professional	26	$32.82	$66.40	$889.65
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $165.36 / $356.24 / $1,426.64	Professional	TC	$165.36	$356.24	$1,426.64
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 $272.57 / $411.22 / $621.86	Professional		$272.57	$411.22	$621.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.33 / $60.81 / $80.81	Professional	26	$43.33	$60.81	$80.81
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $185.51 / $206.99 / $419.65	Professional	TC	$185.51	$206.99	$419.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.69 / $646.69 / $838.69	Facility		$216.69	$646.69	$838.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.31 / $37.31 / $37.31	Facility	26	$37.31	$37.31	$37.31
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $177.61 / $177.61 / $177.61	Facility	TC	$177.61	$177.61	$177.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.53 / $342.07 / $589.14	Professional		$206.53	$342.07	$589.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.52 / $56.11 / $93.21	Professional	26	$35.52	$56.11	$93.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $171.94 / $292.12 / $511.86	Professional	TC	$171.94	$292.12	$511.86
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $353.30 / $6,679.00	Facility		$159.71	$353.30	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $124.84 / $295.80	Professional		$23.68	$124.84	$295.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $447.13 / $592.35	Professional		$226.51	$447.13	$592.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $76.98 / $102.83	Professional	26	$39.32	$76.98	$102.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $187.19 / $366.52 / $489.52	Professional	TC	$187.19	$366.52	$489.52
Health New England Facility/Professional Facility Modifier Low / Median / High Price $224.49 / $580.23 / $1,060.88	Facility		$224.49	$580.23	$1,060.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $74.06 / $309.07	Professional		$50.83	$74.06	$309.07
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $370.07 / $991.94 / $991.94	Facility		$370.07	$991.94	$991.94
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $75.65 / $212.00 / $212.00	Facility	26	$75.65	$212.00	$212.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $305.67 / $836.05 / $836.05	Facility	TC	$305.67	$836.05	$836.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $398.60 / $1,622.16	Professional		$224.00	$398.60	$1,622.16
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $68.08 / $889.65	Professional	26	$35.36	$68.08	$889.65
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $191.99 / $385.81 / $1,426.64	Professional	TC	$191.99	$385.81	$1,426.64
Tufts Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $292.80 / $626.87	Facility		$163.94	$292.80	$626.87
Tufts Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $163.94 / $175.00	Professional		$149.04	$163.94	$175.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.82 / $303.69 / $577.99	Professional		$209.82	$303.69	$577.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $51.06 / $94.22	Professional	26	$32.15	$51.06	$94.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.07 / $265.81 / $484.64	Professional	TC	$186.07	$265.81	$484.64