Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $201.22 / $377.28	Facility		$45.16	$201.22	$377.28
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.52 / $9.58 / $31.06	Facility	26	$8.52	$9.58	$31.06
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $44.53 / $218.24 / $377.26	Facility	TC	$44.53	$218.24	$377.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $35.35 / $108.54	Professional		$24.40	$35.35	$108.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $10.90 / $32.79	Professional	26	$8.52	$10.90	$32.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.87 / $23.55 / $79.81	Professional	TC	$15.87	$23.55	$79.81
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $93.10 / $359.91	Facility		$37.95	$93.10	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.84 / $23.99 / $100.00	Facility	26	$22.84	$23.99	$100.00
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 $31.77 / $51.98 / $218.00	Professional		$31.77	$51.98	$218.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $15.26 / $87.52	Professional	26	$9.82	$15.26	$87.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $37.95 / $206.00	Professional	TC	$21.65	$37.95	$206.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $160.83 / $321.64	Facility		$98.63	$160.83	$321.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $9.15 / $12.35	Professional		$5.56	$9.15	$12.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.15 / $18.57 / $24.68	Professional	26	$14.15	$18.57	$24.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.74 / $50.77 / $65.80	Professional	TC	$37.74	$50.77	$65.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.52 / $245.96 / $376.13	Facility		$82.52	$245.96	$376.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $29.46 / $29.46 / $29.46	Facility	TC	$29.46	$29.46	$29.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $54.58 / $104.63	Professional		$33.39	$54.58	$104.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $16.69 / $29.60	Professional	26	$10.30	$16.69	$29.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.81 / $42.27 / $76.84	Professional	TC	$26.81	$42.27	$76.84
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $83.43 / $6,679.00	Facility		$28.73	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $34.71 / $62.06	Professional		$12.45	$34.71	$62.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $80.05 / $107.78	Professional		$34.47	$80.05	$107.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $23.45 / $31.07	Professional	26	$11.88	$23.45	$31.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $58.97 / $76.02	Professional	TC	$34.54	$58.97	$76.02
Health New England Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $53.77 / $222.04	Facility		$20.09	$53.77	$222.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.69 / $53.19	Professional		$14.13	$20.69	$53.19
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $359.91 / $359.91	Facility		$70.20	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $22.84 / $100.00 / $100.00	Facility	26	$22.84	$100.00	$100.00
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 $34.04 / $52.70 / $218.00	Professional		$34.04	$52.70	$218.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $16.75 / $87.52	Professional	26	$10.15	$16.75	$87.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.64 / $38.27 / $206.00	Professional	TC	$23.64	$38.27	$206.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $34.07 / $176.80	Facility		$27.15	$34.07	$176.80
Tufts Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $34.32 / $67.84	Professional		$27.29	$34.32	$67.84
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $44.40 / $85.09	Professional		$32.11	$44.40	$85.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $13.56 / $24.06	Professional	26	$9.88	$13.56	$24.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.65 / $30.84 / $55.58	Professional	TC	$21.65	$30.84	$55.58