Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.76 / $560.76 / $560.76	Facility		$560.76	$560.76	$560.76
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $560.76 / $560.76 / $560.76	Facility	TC	$560.76	$560.76	$560.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $631.32 / $757.58	Professional		$313.08	$631.32	$757.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $143.80 / $177.30 / $508.90	Professional	26	$143.80	$177.30	$508.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.59 / $402.76 / $530.54	Professional	TC	$154.59	$402.76	$530.54
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,185.65 / $2,185.65 / $2,185.65	Facility		$2,185.65	$2,185.65	$2,185.65
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $858.66 / $858.66 / $858.66	Facility	26	$858.66	$858.66	$858.66
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $1,452.72 / $1,452.72 / $1,452.72	Facility	TC	$1,452.72	$1,452.72	$1,452.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $690.80 / $5,718.36	Professional		$347.90	$690.80	$5,718.36
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $131.86 / $259.70 / $1,098.38	Professional	26	$131.86	$259.70	$1,098.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $172.68 / $372.48 / $2,229.25	Professional	TC	$172.68	$372.48	$2,229.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $391.99 / $391.99	Facility		$391.99	$391.99	$391.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.63 / $731.52 / $967.51	Professional		$529.63	$731.52	$967.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $236.77 / $327.02 / $432.53	Professional	26	$236.77	$327.02	$432.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $310.56 / $409.92 / $546.24	Professional	TC	$310.56	$409.92	$546.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.16 / $326.16 / $527.69	Professional		$326.16	$326.16	$527.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.56 / $153.56 / $244.81	Professional	26	$153.56	$153.56	$244.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.60 / $172.60 / $271.02	Professional	TC	$172.60	$172.60	$271.02
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $207.98 / $319.00 / $608.15	Professional		$207.98	$319.00	$608.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $448.92 / $851.60 / $1,144.30	Professional		$448.92	$851.60	$1,144.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $211.35 / $417.20 / $538.73	Professional	26	$211.35	$417.20	$538.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $237.57 / $468.96 / $605.57	Professional	TC	$237.57	$468.96	$605.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $175.73 / $449.59	Professional		$174.25	$175.73	$449.59
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,185.65 / $2,185.65 / $2,185.65	Facility		$2,185.65	$2,185.65	$2,185.65
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $858.66 / $858.66 / $858.66	Facility	26	$858.66	$858.66	$858.66
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $1,452.72 / $1,452.72 / $1,452.72	Facility	TC	$1,452.72	$1,452.72	$1,452.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $539.25 / $5,718.36	Professional		$347.90	$539.25	$5,718.36
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $123.87 / $219.79 / $1,098.38	Professional	26	$123.87	$219.79	$1,098.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $162.40 / $372.48 / $2,229.25	Professional	TC	$162.40	$372.48	$2,229.25
United Facility/Professional Facility Modifier Low / Median / High Price $484.09 / $484.09 / $508.30	Facility		$484.09	$484.09	$508.30
United Facility/Professional Professional Modifier Low / Median / High Price $295.72 / $504.34 / $1,077.00	Professional		$295.72	$504.34	$1,077.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.68 / $219.17 / $504.80	Professional	26	$123.68	$219.17	$504.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $284.27 / $594.39	Professional	TC	$138.04	$284.27	$594.39