Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.31 / $133.31 / $714.38	Facility		$133.31	$133.31	$714.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.64 / $17.64 / $17.64	Facility	26	$17.64	$17.64	$17.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $115.71 / $174.55	Professional		$62.21	$115.71	$174.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.90 / $18.39 / $28.46	Professional	26	$15.90	$18.39	$28.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.92 / $90.34 / $148.47	Professional	TC	$44.92	$90.34	$148.47
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $228.93 / $353.50	Facility		$133.16	$228.93	$353.50
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.57 / $44.33 / $134.26	Facility	26	$40.57	$44.33	$134.26
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $137.21 / $803.55	Professional		$67.34	$137.21	$803.55
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.47 / $35.36 / $416.07	Professional	26	$18.47	$35.36	$416.07
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $51.97 / $120.26 / $578.59	Professional	TC	$51.97	$120.26	$578.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $248.60 / $313.74	Facility		$202.58	$248.60	$313.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $137.74 / $182.05	Professional		$103.50	$137.74	$182.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.40 / $34.94 / $46.43	Professional	26	$26.40	$34.94	$46.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $602.78 / $942.89	Facility		$161.25	$602.78	$942.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $146.78 / $269.89	Professional		$74.44	$146.78	$269.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $35.28 / $62.80	Professional	26	$19.78	$35.28	$62.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.03 / $109.35 / $223.41	Professional	TC	$53.03	$109.35	$223.41
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $111.32 / $6,679.00	Facility		$58.70	$111.32	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $43.73 / $105.80	Professional		$13.49	$43.73	$105.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $158.79 / $212.08	Professional		$81.09	$158.79	$212.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.12 / $41.92 / $55.68	Professional	26	$22.12	$41.92	$55.68
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $58.98 / $111.89 / $148.44	Professional	TC	$58.98	$111.89	$148.44
Health New England Facility/Professional Facility Modifier Low / Median / High Price $658.46 / $745.00 / $1,152.78	Facility		$658.46	$745.00	$1,152.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $33.22 / $180.00	Professional		$26.32	$33.22	$180.00
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $133.16 / $353.50	Facility		$133.16	$133.16	$353.50
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $42.01 / $42.01 / $134.26	Facility	26	$42.01	$42.01	$134.26
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $166.48 / $803.55	Professional		$78.73	$166.48	$803.55
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $38.11 / $416.07	Professional	26	$19.78	$38.11	$416.07
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $135.40 / $578.59	Professional	TC	$57.94	$135.40	$578.59
United Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $127.17 / $217.83	Professional		$70.63	$127.17	$217.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $26.69 / $51.82	Professional	26	$19.13	$26.69	$51.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $101.83 / $190.44	Professional	TC	$57.94	$101.83	$190.44