Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $407.38 / $660.69	Facility		$123.03	$407.38	$660.69
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $45.71	Facility	26	$21.88	$21.88	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $380.19	Professional		$104.71	$151.36	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $31.62 / $89.13	Professional	26	$20.89	$31.62	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $112.20 / $263.03	Professional	TC	$85.11	$112.20	$263.03
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $758.58	Facility		$263.03	$309.03	$758.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $56.23 / $144.54	Facility	26	$50.12	$56.23	$144.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $1,047.13	Professional		$114.82	$194.98	$1,047.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $34.67 / $218.78	Professional	26	$20.42	$34.67	$218.78
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $169.82 / $912.01	Professional	TC	$97.72	$169.82	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $204.17 / $269.15	Facility		$169.82	$204.17	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $338.84	Professional		$125.89	$263.03	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $42.66 / $58.88	Professional	26	$26.30	$42.66	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $338.84 / $512.86	Facility		$134.90	$338.84	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	26	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $371.54	Professional		$120.23	$194.98	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.88 / $66.07	Professional	26	$22.91	$33.88	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $158.49 / $316.23	Professional	TC	$95.50	$158.49	$316.23
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $7,079.46	Facility		$97.72	$173.78	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $81.28 / $204.17	Professional		$18.20	$81.28	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $331.13	Professional		$123.03	$213.80	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $40.74 / $61.66	Professional	26	$23.99	$40.74	$61.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $169.82 / $257.04	Professional	TC	$97.72	$169.82	$257.04
Health New England Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $776.25 / $1,258.93	Facility		$371.54	$776.25	$1,258.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $229.09	Professional		$37.15	$37.15	$229.09
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $758.58	Facility		$263.03	$309.03	$758.58
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $56.23 / $144.54	Facility	26	$50.12	$56.23	$144.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $1,047.13	Professional		$114.82	$194.98	$1,047.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $33.88 / $218.78	Professional	26	$20.42	$33.88	$218.78
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $169.82 / $912.01	Professional	TC	$97.72	$169.82	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $154.88 / $346.74	Facility		$35.48	$154.88	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $354.81	Professional		$123.03	$199.53	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.88 / $66.07	Professional	26	$22.91	$33.88	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $169.82 / $295.12	Professional	TC	$97.72	$169.82	$295.12