Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $402.00 / $882.36	Facility		$196.75	$402.00	$882.36
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.54 / $36.54 / $67.98	Facility	26	$36.54	$36.54	$67.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $236.06 / $789.73	Professional		$182.40	$236.06	$789.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $39.49 / $139.63	Professional	26	$30.82	$39.49	$139.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.19 / $169.96 / $361.18	Professional	TC	$145.19	$169.96	$361.18
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $357.23 / $524.55 / $956.70	Facility		$357.23	$524.55	$956.70
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $82.03 / $91.04 / $181.17	Facility	26	$82.03	$91.04	$181.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $186.51 / $370.20 / $1,499.71	Professional		$186.51	$370.20	$1,499.71
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.58 / $75.73 / $361.59	Professional	26	$35.58	$75.73	$361.59
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $153.30 / $327.76 / $1,309.54	Professional	TC	$153.30	$327.76	$1,309.54
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 $234.08 / $395.52 / $739.09	Professional		$234.08	$395.52	$739.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.50 / $71.44 / $94.92	Professional	26	$53.50	$71.44	$94.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $170.39 / $191.35 / $387.94	Professional	TC	$170.39	$191.35	$387.94
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 $35.75 / $35.75 / $35.75	Facility	26	$35.75	$35.75	$35.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.62 / $360.61 / $565.23	Professional		$195.62	$360.61	$565.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.34 / $57.75 / $106.23	Professional	26	$37.34	$57.75	$106.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $159.47 / $298.93 / $480.41	Professional	TC	$159.47	$298.93	$480.41
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $327.74 / $6,679.00	Facility		$148.16	$327.74	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $120.05 / $283.95	Professional		$27.77	$120.05	$283.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $220.36 / $434.99 / $576.26	Professional		$220.36	$434.99	$576.26
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.69 / $91.42 / $122.10	Professional	26	$46.69	$91.42	$122.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $173.67 / $342.82 / $454.16	Professional	TC	$173.67	$342.82	$454.16
Health New England Facility/Professional Facility Modifier Low / Median / High Price $483.12 / $667.03 / $1,018.59	Facility		$483.12	$667.03	$1,018.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $86.39 / $323.60	Professional		$58.69	$86.39	$323.60
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $357.23 / $956.70 / $956.70	Facility		$357.23	$956.70	$956.70
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $181.17 / $181.17	Facility	26	$87.37	$181.17	$181.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $384.27 / $1,499.71	Professional		$202.83	$384.27	$1,499.71
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $36.79 / $77.45 / $361.59	Professional	26	$36.79	$77.45	$361.59
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $168.72 / $345.73 / $1,309.54	Professional	TC	$168.72	$345.73	$1,309.54
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $293.93 / $556.51	Professional		$192.00	$293.93	$556.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.79 / $54.19 / $107.72	Professional	26	$36.79	$54.19	$107.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.19 / $269.45 / $509.60	Professional	TC	$161.19	$269.45	$509.60