Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.21 / $304.23 / $665.55	Facility		$124.21	$304.23	$665.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.97 / $22.97 / $42.72	Facility	26	$22.97	$22.97	$42.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $132.24 / $314.31	Professional		$112.17	$132.24	$314.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.50 / $24.58 / $86.86	Professional	26	$20.50	$24.58	$86.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.48 / $106.95 / $211.16	Professional	TC	$89.48	$106.95	$211.16
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $232.86 / $306.29 / $623.15	Facility		$232.86	$306.29	$623.15
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $55.63 / $111.06	Facility	26	$50.12	$55.63	$111.06
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $244.12 / $1,040.97	Professional		$123.43	$244.12	$1,040.97
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $47.32 / $217.94	Professional	26	$22.83	$47.32	$217.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $102.47 / $222.04 / $914.23	Professional	TC	$102.47	$222.04	$914.23
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 $182.03 / $264.20 / $465.12	Professional		$182.03	$264.20	$465.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.58 / $43.50 / $57.80	Professional	26	$32.58	$43.50	$57.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $126.67 / $126.67 / $156.01	Professional	TC	$126.67	$126.67	$156.01
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 $24.52 / $24.52 / $24.52	Facility	26	$24.52	$24.52	$24.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $236.04 / $380.52	Professional		$128.47	$236.04	$380.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.52 / $38.15 / $66.45	Professional	26	$24.52	$38.15	$66.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $103.61 / $197.32 / $333.93	Professional	TC	$103.61	$197.32	$333.93
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $216.44 / $6,679.00	Facility		$97.84	$216.44	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $78.04 / $186.28	Professional		$16.93	$78.04	$186.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $279.89 / $373.83	Professional		$142.94	$279.89	$373.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.26 / $55.33 / $73.90	Professional	26	$28.26	$55.33	$73.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $114.69 / $226.40 / $299.93	Professional	TC	$114.69	$226.40	$299.93
Health New England Facility/Professional Facility Modifier Low / Median / High Price $372.98 / $754.83 / $1,251.92	Facility		$372.98	$754.83	$1,251.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $69.11 / $180.13	Professional		$34.90	$69.11	$180.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $232.86 / $623.15 / $623.15	Facility		$232.86	$623.15	$623.15
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $53.90 / $111.06 / $111.06	Facility	26	$53.90	$111.06	$111.06
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $250.16 / $1,040.97	Professional		$142.47	$250.16	$1,040.97
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $24.64 / $47.44 / $217.94	Professional	26	$24.64	$47.44	$217.94
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $116.74 / $240.90 / $914.23	Professional	TC	$116.74	$240.90	$914.23
United Facility/Professional Facility Modifier Low / Median / High Price $100.96 / $100.96 / $100.96	Facility		$100.96	$100.96	$100.96
United Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $207.75 / $483.87	Professional		$131.44	$207.75	$483.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.88 / $39.88 / $87.36	Professional	26	$22.88	$39.88	$87.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $108.22 / $174.33 / $348.05	Professional	TC	$108.22	$174.33	$348.05