Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $549.54 / $707.95	Facility		$131.83	$549.54	$707.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $16.98 / $16.98	Facility	26	$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $213.80	Professional		$61.66	$89.13	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.05 / $74.13	Professional	26	$15.85	$19.05	$74.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $61.66 / $158.49	Professional	TC	$42.66	$61.66	$158.49
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $416.87	Facility		$165.96	$229.09	$416.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $44.67 / $134.90	Facility	26	$40.74	$44.67	$134.90
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $812.83	Professional		$60.26	$120.23	$812.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.84 / $416.87	Professional	26	$16.98	$28.84	$416.87
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $95.50 / $575.44	Professional	TC	$47.86	$95.50	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $323.59	Facility		$194.98	$245.47	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $186.21	Professional		$81.28	$141.25	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $51.29	Professional	26	$20.89	$35.48	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $407.38 / $933.25	Facility		$162.18	$407.38	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $269.15	Professional		$69.18	$138.04	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.90 / $60.26	Professional	26	$18.62	$30.90	$60.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $109.65 / $223.87	Professional	TC	$50.12	$109.65	$223.87
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $93.33 / $7,079.46	Facility		$56.23	$93.33	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $47.86 / $125.89	Professional		$14.79	$47.86	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $213.80	Professional		$81.28	$134.90	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $32.36 / $50.12	Professional	26	$18.62	$32.36	$50.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $93.33 / $141.25	Professional	TC	$51.29	$93.33	$141.25
Health New England Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,148.15 / $1,174.90	Facility		$660.69	$1,148.15	$1,174.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $123.03 / $204.17	Professional		$33.11	$123.03	$204.17
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $416.87	Facility		$165.96	$229.09	$416.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $44.67 / $134.90	Facility	26	$40.74	$44.67	$134.90
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $812.83	Professional		$60.26	$120.23	$812.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $29.51 / $416.87	Professional	26	$16.98	$29.51	$416.87
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $95.50 / $575.44	Professional	TC	$47.86	$95.50	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $389.05 / $707.95	Facility		$74.13	$389.05	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $223.87	Professional		$67.61	$128.82	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $29.51 / $54.95	Professional	26	$19.05	$29.51	$54.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $102.33 / $177.83	Professional	TC	$52.48	$102.33	$177.83