Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.74 / $66.76 / $356.97	Facility		$41.74	$66.76	$356.97
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.47 / $12.22 / $35.06	Facility	26	$9.47	$12.22	$35.06
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.06 / $70.43 / $268.31	Facility	TC	$28.06	$70.43	$268.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $37.21 / $67.59	Professional		$27.96	$37.21	$67.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.85 / $37.79	Professional	26	$8.46	$11.85	$37.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $25.64 / $51.26	Professional	TC	$18.48	$25.64	$51.26
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $109.11 / $359.91	Facility		$41.47	$109.11	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $21.47 / $100.00	Facility	26	$20.44	$21.47	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $57.91 / $72.52 / $149.66	Facility	TC	$57.91	$72.52	$149.66
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $55.80 / $230.47	Professional		$34.17	$55.80	$230.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $14.70 / $77.59	Professional	26	$9.33	$14.70	$77.59
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $44.31 / $214.00	Professional	TC	$25.17	$44.31	$214.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $160.83 / $321.64	Facility		$127.98	$160.83	$321.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $8.18 / $11.04	Professional		$4.97	$8.18	$11.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $16.35 / $22.08	Professional	26	$9.94	$16.35	$22.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.36 / $245.96 / $376.13	Facility		$84.36	$245.96	$376.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	TC	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $63.13 / $114.84	Professional		$36.27	$63.13	$114.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.49 / $17.50 / $32.38	Professional	26	$10.49	$17.50	$32.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.02 / $45.71 / $90.06	Professional	TC	$27.02	$45.71	$90.06
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $83.43 / $6,679.00	Facility		$33.39	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $40.49 / $70.14	Professional		$11.15	$40.49	$70.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $89.10 / $118.38	Professional		$44.24	$89.10	$118.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $21.24 / $27.85	Professional	26	$10.65	$21.24	$27.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.59 / $67.65 / $87.84	Professional	TC	$33.59	$67.65	$87.84
Health New England Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $75.09 / $400.98	Facility		$24.91	$75.09	$400.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $26.15 / $70.55	Professional		$12.66	$26.15	$70.55
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $359.91 / $359.91	Facility		$76.54	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $100.00 / $100.00	Facility	26	$20.47	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $57.91 / $149.66 / $149.66	Facility	TC	$57.91	$149.66	$149.66
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $56.48 / $230.47	Professional		$36.09	$56.48	$230.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $16.48 / $77.59	Professional	26	$10.41	$16.48	$77.59
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $44.31 / $214.00	Professional	TC	$25.62	$44.31	$214.00
United Facility/Professional Facility Modifier Low / Median / High Price $143.11 / $150.27 / $327.76	Facility		$143.11	$150.27	$327.76
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $50.21 / $119.45	Professional		$36.02	$50.21	$119.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $13.11 / $24.06	Professional	26	$10.18	$13.11	$24.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $33.31 / $65.14	Professional	TC	$24.54	$33.31	$65.14