Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.59 / $529.54 / $804.54	Facility		$168.59	$529.54	$804.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.12 / $28.53 / $39.29	Facility	26	$21.12	$28.53	$39.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $137.69 / $368.31 / $1,087.78	Facility	TC	$137.69	$368.31	$1,087.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $137.90 / $543.37	Professional		$31.88	$137.90	$543.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.10 / $29.44 / $88.58	Professional	26	$21.10	$29.44	$88.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.53 / $116.91 / $248.75	Professional	TC	$95.53	$116.91	$248.75
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $236.96 / $312.88 / $635.03	Facility		$236.96	$312.88	$635.03
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $46.48 / $51.58 / $107.00	Facility	26	$46.48	$51.58	$107.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $195.28 / $261.33 / $534.14	Facility	TC	$195.28	$261.33	$534.14
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $246.64 / $1,081.80	Professional		$124.15	$246.64	$1,081.80
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.21 / $42.74 / $237.75	Professional	26	$21.21	$42.74	$237.75
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $106.84 / $232.02 / $952.89	Professional	TC	$106.84	$232.02	$952.89
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 $38.11 / $254.38 / $358.36	Professional		$38.11	$254.38	$358.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.95 / $38.59 / $52.27	Professional	26	$29.95	$38.59	$52.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $131.59 / $156.01 / $266.79	Professional	TC	$131.59	$156.01	$266.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.38 / $376.13 / $508.90	Facility		$135.38	$376.13	$508.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.60 / $24.60 / $24.60	Facility	26	$24.60	$24.60	$24.60
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $128.12 / $128.12 / $128.12	Facility	TC	$128.12	$128.12	$128.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $222.54 / $385.36	Professional		$130.10	$222.54	$385.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $36.70 / $59.40	Professional	26	$22.83	$36.70	$59.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.07 / $191.01 / $336.63	Professional	TC	$106.07	$191.01	$336.63
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $225.72 / $6,679.00	Facility		$102.04	$225.72	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $79.92 / $189.36	Professional		$15.31	$79.92	$189.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $283.91 / $379.19	Professional		$145.00	$283.91	$379.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.40 / $49.73 / $66.42	Professional	26	$25.40	$49.73	$66.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $119.60 / $236.09 / $312.77	Professional	TC	$119.60	$236.09	$312.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $509.39 / $803.20	Facility		$137.32	$509.39	$803.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $62.00 / $301.29	Professional		$32.49	$62.00	$301.29
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $236.96 / $635.03 / $635.03	Facility		$236.96	$635.03	$635.03
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $48.87 / $107.00 / $107.00	Facility	26	$48.87	$107.00	$107.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $195.28 / $534.14 / $534.14	Facility	TC	$195.28	$534.14	$534.14
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $261.14 / $1,081.80	Professional		$145.08	$261.14	$1,081.80
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $44.37 / $237.75	Professional	26	$22.74	$44.37	$237.75
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $120.70 / $242.03 / $952.89	Professional	TC	$120.70	$242.03	$952.89
Tufts Facility/Professional Facility Modifier Low / Median / High Price $103.88 / $142.25 / $286.89	Facility		$103.88	$142.25	$286.89
Tufts Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $156.24 / $209.13	Professional		$101.00	$156.24	$209.13
United Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $207.02 / $362.49	Professional		$130.13	$207.02	$362.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $35.65 / $79.92	Professional	26	$22.74	$35.65	$79.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.70 / $182.04 / $358.37	Professional	TC	$102.70	$182.04	$358.37