Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $104.68 / $343.47	Facility		$33.26	$104.68	$343.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $14.54 / $17.92	Facility	26	$8.36	$14.54	$17.92
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.54 / $219.08 / $424.45	Facility	TC	$32.54	$219.08	$424.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $33.71 / $110.60	Professional		$24.68	$33.71	$110.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $10.84 / $40.56	Professional	26	$8.36	$10.84	$40.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $22.00 / $77.00	Professional	TC	$16.30	$22.00	$77.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $90.65 / $359.91	Facility		$38.69	$90.65	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $24.38 / $25.61 / $70.00	Facility	26	$24.38	$25.61	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $61.89 / $127.63	Facility	TC	$49.38	$61.89	$127.63
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $46.69 / $215.20	Professional		$30.74	$46.69	$215.20
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $14.63 / $66.04	Professional	26	$9.96	$14.63	$66.04
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $32.29 / $149.15	Professional	TC	$20.93	$32.29	$149.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $107.79 / $213.79	Facility		$72.06	$107.79	$213.79
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.20 / $19.48 / $26.32	Professional	26	$13.20	$19.48	$26.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.12 / $34.74 / $173.27	Professional	TC	$21.12	$34.74	$173.27
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 $34.03 / $52.31 / $106.55	Professional		$34.03	$52.31	$106.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.01 / $17.11 / $30.76	Professional	26	$11.01	$17.11	$30.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $36.36 / $75.79	Professional	TC	$22.98	$36.36	$75.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $69.84 / $6,679.00	Facility		$28.49	$69.84	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $34.86 / $62.06	Professional		$13.31	$34.86	$62.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $82.51 / $109.96	Professional		$41.37	$82.51	$109.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $25.07 / $33.21	Professional	26	$12.70	$25.07	$33.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.67 / $57.74 / $74.97	Professional	TC	$28.67	$57.74	$74.97
Health New England Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $103.45 / $232.34	Facility		$21.87	$103.45	$232.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $25.66 / $80.31	Professional		$15.10	$25.66	$80.31
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $359.91 / $359.91	Facility		$71.69	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $70.00 / $70.00	Facility	26	$24.59	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $49.38 / $127.63 / $127.63	Facility	TC	$49.38	$127.63	$127.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $46.88 / $215.20	Professional		$32.82	$46.88	$215.20
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $14.89 / $66.04	Professional	26	$10.63	$14.89	$66.04
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.97 / $31.36 / $149.15	Professional	TC	$21.97	$31.36	$149.15
Tufts Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $42.20 / $184.14	Facility		$25.88	$42.20	$184.14
Tufts Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $40.45 / $67.78	Professional		$27.12	$40.45	$67.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $45.82 / $78.91	Professional		$31.95	$45.82	$78.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $14.46 / $31.63	Professional	26	$10.63	$14.46	$31.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.73 / $30.68 / $70.34	Professional	TC	$21.73	$30.68	$70.34