Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $80.22 / $341.19	Facility		$36.61	$80.22	$341.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.52 / $15.02 / $20.02	Facility	26	$8.52	$15.02	$20.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $40.36 / $84.01 / $423.12	Facility	TC	$40.36	$84.01	$423.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $40.19 / $118.59	Professional		$25.86	$40.19	$118.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $11.92 / $32.25	Professional	26	$8.52	$11.92	$32.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $28.39 / $84.34	Professional	TC	$17.32	$28.39	$84.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $115.78 / $359.91	Facility		$45.68	$115.78	$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 Facility Modifier TC Low / Median / High Price $61.48 / $76.95 / $158.84	Facility	TC	$61.48	$76.95	$158.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $55.79 / $254.22	Professional		$34.67	$55.79	$254.22
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $16.17 / $90.81	Professional	26	$9.82	$16.17	$90.81
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.73 / $47.03 / $195.00	Professional	TC	$25.73	$47.03	$195.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $92.90 / $178.10	Facility		$71.23	$92.90	$178.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $10.26 / $13.64	Professional		$6.14	$10.26	$13.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.61 / $20.51 / $31.35	Professional	26	$14.61	$20.51	$31.35
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.93 / $61.59 / $80.15	Professional	TC	$46.93	$61.59	$80.15
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 Facility Modifier TC Low / Median / High Price $27.28 / $27.28 / $27.28	Facility	TC	$27.28	$27.28	$27.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $61.94 / $126.87	Professional		$38.00	$61.94	$126.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $17.73 / $31.87	Professional	26	$11.34	$17.73	$31.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $46.42 / $95.57	Professional	TC	$27.28	$46.42	$95.57
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $83.43 / $6,679.00	Facility		$35.43	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $43.17 / $77.13	Professional		$13.75	$43.17	$77.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $97.21 / $129.25	Professional		$48.74	$97.21	$129.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $26.15 / $34.28	Professional	26	$13.11	$26.15	$34.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.64 / $71.08 / $93.20	Professional	TC	$35.64	$71.08	$93.20
Health New England Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $93.60 / $312.88	Facility		$22.17	$93.60	$312.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $21.32 / $83.30	Professional		$15.60	$21.32	$83.30
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $359.91 / $359.91	Facility		$84.50	$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 Facility Modifier TC Low / Median / High Price $61.48 / $158.84 / $158.84	Facility	TC	$61.48	$158.84	$158.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $57.62 / $254.22	Professional		$38.22	$57.62	$254.22
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $18.12 / $90.81	Professional	26	$11.20	$18.12	$90.81
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $47.03 / $195.00	Professional	TC	$27.03	$47.03	$195.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $114.67 / $255.90	Facility		$34.27	$114.67	$255.90
Tufts Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.19 / $51.01	Professional		$31.62	$38.19	$51.01
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $49.93 / $92.16	Professional		$34.67	$49.93	$92.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.98 / $26.50	Professional	26	$10.72	$14.98	$26.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.73 / $35.64 / $69.14	Professional	TC	$25.73	$35.64	$69.14