Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $158.01 / $374.85	Facility		$26.37	$158.01	$374.85
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.03 / $12.22 / $15.01	Facility	26	$7.03	$12.22	$15.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.84 / $211.53 / $323.27	Facility	TC	$24.84	$211.53	$323.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $21.03 / $64.40	Professional		$15.92	$21.03	$64.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.30 / $35.81	Professional	26	$7.03	$9.30	$35.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.88 / $11.95 / $41.94	Professional	TC	$8.88	$11.95	$41.94
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $67.39 / $359.91	Facility		$21.65	$67.39	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $21.47 / $70.00	Facility	26	$20.44	$21.47	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $36.54 / $45.92 / $94.62	Facility	TC	$36.54	$45.92	$94.62
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $35.76 / $165.42	Professional		$21.36	$35.76	$165.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $12.19 / $55.28	Professional	26	$8.35	$12.19	$55.28
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $13.86 / $24.27 / $110.07	Professional	TC	$13.86	$24.27	$110.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $100.88 / $205.53	Facility		$72.06	$100.88	$205.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $16.71 / $22.08	Professional	26	$12.66	$16.71	$22.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $11.52 / $23.12 / $23.12	Professional	TC	$11.52	$23.12	$23.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $161.76 / $240.60	Facility		$61.49	$161.76	$240.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $38.27 / $81.73	Professional		$22.84	$38.27	$81.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $14.07 / $25.79	Professional	26	$9.25	$14.07	$25.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.07 / $24.32 / $55.93	Professional	TC	$13.07	$24.32	$55.93
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $49.97 / $6,679.00	Facility		$18.12	$49.97	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $26.17 / $47.36	Professional		$11.15	$26.17	$47.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $58.08 / $83.55	Professional		$10.65	$58.08	$83.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.46 / $21.95 / $28.31	Professional	26	$12.46	$21.95	$28.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.30 / $42.90 / $55.70	Professional	TC	$21.30	$42.90	$55.70
Health New England Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $77.37 / $263.32	Facility		$18.36	$77.37	$263.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $21.13 / $40.35	Professional		$12.18	$21.13	$40.35
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $55.18 / $359.91 / $359.91	Facility		$55.18	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $70.00 / $70.00	Facility	26	$20.47	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $36.54 / $94.62 / $94.62	Facility	TC	$36.54	$94.62	$94.62
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $35.76 / $165.42	Professional		$22.69	$35.76	$165.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.49 / $55.28	Professional	26	$8.91	$12.49	$55.28
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $13.58 / $23.63 / $110.07	Professional	TC	$13.58	$23.63	$110.07
Tufts Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $82.28 / $229.86	Facility		$20.34	$82.28	$229.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $35.46 / $53.87	Professional		$22.37	$35.46	$53.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $31.53 / $63.27	Professional		$22.07	$31.53	$63.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.58 / $12.13 / $20.90	Professional	26	$8.58	$12.13	$20.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.44 / $22.64 / $41.80	Professional	TC	$13.44	$22.64	$41.80