Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $342.11 / $1,751.00	Facility		$116.60	$342.11	$1,751.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.38 / $49.38 / $91.85	Facility	26	$49.38	$49.38	$91.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $211.81 / $442.23	Professional		$149.21	$211.81	$442.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.42 / $54.92 / $103.37	Professional	26	$39.42	$54.92	$103.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $105.81 / $146.08 / $196.80	Professional	TC	$105.81	$146.08	$196.80
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $262.83 / $348.74 / $682.58	Facility		$262.83	$348.74	$682.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $88.51 / $93.52 / $188.81	Facility	26	$88.51	$93.52	$188.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $149.53 / $313.94 / $1,027.63	Professional		$149.53	$313.94	$1,027.63
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.43 / $79.94 / $269.14	Professional	26	$41.43	$79.94	$269.14
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $116.15 / $237.27 / $767.60	Professional	TC	$116.15	$237.27	$767.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $250.62 / $313.74	Facility		$206.00	$250.62	$313.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.66 / $266.05 / $351.64	Professional		$201.66	$266.05	$351.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.37 / $73.28 / $97.39	Professional	26	$55.37	$73.28	$97.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $371.32 / $884.42	Facility		$161.25	$371.32	$884.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $317.01 / $495.42	Professional		$167.58	$317.01	$495.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.23 / $81.34 / $129.29	Professional	26	$44.23	$81.34	$129.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $124.59 / $230.50 / $377.55	Professional	TC	$124.59	$230.50	$377.55
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $208.68 / $6,679.00	Facility		$94.34	$208.68	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $85.55 / $199.00	Professional		$28.55	$85.55	$199.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $308.77 / $403.52	Professional		$157.69	$308.77	$403.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $47.10 / $89.35 / $117.31	Professional	26	$47.10	$89.35	$117.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $110.59 / $209.79 / $281.89	Professional	TC	$110.59	$209.79	$281.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $81.77 / $308.55	Professional		$81.77	$81.77	$308.55
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $262.83 / $262.83 / $682.58	Facility		$262.83	$262.83	$682.58
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $91.76 / $91.76 / $188.81	Facility	26	$91.76	$91.76	$188.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $333.56 / $1,027.63	Professional		$196.21	$333.56	$1,027.63
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $45.86 / $88.67 / $269.14	Professional	26	$45.86	$88.67	$269.14
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $146.09 / $254.76 / $767.60	Professional	TC	$146.09	$254.76	$767.60
United Facility/Professional Professional Modifier Low / Median / High Price $177.91 / $291.86 / $488.80	Professional		$177.91	$291.86	$488.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.86 / $73.45 / $145.54	Professional	26	$45.86	$73.45	$145.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.80 / $209.66 / $458.66	Professional	TC	$127.80	$209.66	$458.66