Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $120.36 / $343.47	Facility		$39.79	$120.36	$343.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.36 / $10.58 / $31.06	Facility	26	$8.36	$10.58	$31.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $32.84 / $90.04	Professional		$23.66	$32.84	$90.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $11.25 / $36.90	Professional	26	$8.36	$11.25	$36.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $22.54 / $66.34	Professional	TC	$15.29	$22.54	$66.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $105.12 / $359.91	Facility		$42.19	$105.12	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $26.50 / $100.00	Facility	26	$25.22	$26.50	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $51.98 / $236.90	Professional		$32.96	$51.98	$236.90
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $16.17 / $82.56	Professional	26	$9.82	$16.17	$82.56
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $42.14 / $190.00	Professional	TC	$23.66	$42.14	$190.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.12 / $98.31 / $191.07	Facility		$46.12	$98.31	$191.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $10.10 / $13.64	Professional		$7.12	$10.10	$13.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $20.51 / $27.26	Professional	26	$14.23	$20.51	$27.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $55.79 / $84.37	Professional	TC	$42.07	$55.79	$84.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $190.49 / $277.89	Facility		$73.48	$190.49	$277.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $57.73 / $117.59	Professional		$36.63	$57.73	$117.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $17.64 / $31.83	Professional	26	$11.34	$17.64	$31.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.74 / $42.08 / $86.75	Professional	TC	$25.74	$42.08	$86.75
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $83.43 / $6,679.00	Facility		$31.75	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $38.69 / $69.17	Professional		$13.75	$38.69	$69.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $89.33 / $119.48	Professional		$45.06	$89.33	$119.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $26.40 / $34.28	Professional	26	$13.11	$26.40	$34.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $64.34 / $83.55	Professional	TC	$31.95	$64.34	$83.55
Health New England Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $68.45 / $286.20	Facility		$22.17	$68.45	$286.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $19.66 / $62.05	Professional		$14.69	$19.66	$62.05
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $359.91 / $359.91	Facility		$78.09	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $100.00 / $100.00	Facility	26	$25.22	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $53.21 / $236.90	Professional		$35.70	$53.21	$236.90
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $17.25 / $82.56	Professional	26	$11.20	$17.25	$82.56
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $42.14 / $190.00	Professional	TC	$24.50	$42.14	$190.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $47.86 / $85.48	Professional		$33.86	$47.86	$85.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $14.83 / $29.04	Professional	26	$10.71	$14.83	$29.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $34.96 / $83.55	Professional	TC	$24.50	$34.96	$83.55