Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $119.99 / $383.35	Facility		$41.84	$119.99	$383.35
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 $41.53 / $264.39 / $430.73	Facility	TC	$41.53	$264.39	$430.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $44.36 / $124.87	Professional		$27.31	$44.36	$124.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $11.92 / $33.01	Professional	26	$8.52	$11.92	$33.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $30.16 / $92.22	Professional	TC	$18.78	$30.16	$92.22
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $117.12 / $359.91	Facility		$46.07	$117.12	$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 Facility Modifier TC Low / Median / High Price $61.48 / $77.86 / $158.84	Facility	TC	$61.48	$77.86	$158.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $58.11 / $256.38	Professional		$35.69	$58.11	$256.38
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 $27.03 / $47.92 / $211.00	Professional	TC	$27.03	$47.92	$211.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.65 / $177.55 / $345.07	Facility		$51.65	$177.55	$345.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.36 / $20.18 / $27.26	Professional	26	$15.36	$20.18	$27.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.93 / $62.25 / $81.84	Professional	TC	$46.93	$62.25	$81.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.59 / $245.96 / $376.13	Facility		$85.59	$245.96	$376.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $30.33 / $30.33 / $30.33	Facility	TC	$30.33	$30.33	$30.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $63.55 / $127.52	Professional		$39.63	$63.55	$127.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $18.39 / $31.87	Professional	26	$11.34	$18.39	$31.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $48.23 / $96.67	Professional	TC	$28.91	$48.23	$96.67
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 / $129.55	Professional		$48.74	$97.21	$129.55
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 $22.62 / $75.69 / $408.70	Facility		$22.62	$75.69	$408.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $32.00 / $97.72	Professional		$16.77	$32.00	$97.72
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 / $59.04 / $256.38	Professional		$38.22	$59.04	$256.38
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $18.12 / $82.56	Professional	26	$11.20	$18.12	$82.56
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $48.05 / $211.00	Professional	TC	$27.07	$48.05	$211.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $124.72 / $294.08	Facility		$34.17	$124.72	$294.08
Tufts Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $47.00 / $80.31	Professional		$35.00	$47.00	$80.31
United Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.93 / $92.96	Professional		$37.46	$51.93	$92.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $14.98 / $28.94	Professional	26	$10.71	$14.98	$28.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $38.58 / $69.94	Professional	TC	$27.03	$38.58	$69.94