Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $125.89 / $354.81	Facility		$28.18	$125.89	$354.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $12.30 / $33.88	Facility	26	$6.03	$12.30	$33.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $69.18 / $354.81	Facility	TC	$24.55	$69.18	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $125.89	Professional		$22.91	$41.69	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.02 / $37.15	Professional	26	$7.59	$12.02	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $25.70 / $74.13	Professional	TC	$14.79	$25.70	$74.13
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $81.28 / $363.08	Facility		$24.55	$81.28	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $50.12 / $125.89 / $125.89	Facility	TC	$50.12	$125.89	$125.89
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $177.83	Professional		$23.44	$38.02	$177.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $77.62	Professional	26	$7.41	$11.75	$77.62
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.18 / $162.18	Professional	TC	$18.20	$28.18	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $229.09	Facility		$128.82	$162.18	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.22 / $21.88	Professional	26	$9.55	$16.22	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $40.74 / $57.54	Professional	TC	$25.12	$40.74	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $208.93 / $389.05	Facility		$63.10	$208.93	$389.05
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $89.13	Professional		$23.99	$42.66	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.18 / $24.55	Professional	26	$7.59	$13.18	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $32.36 / $63.10	Professional	TC	$16.60	$32.36	$63.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $56.23 / $7,079.46	Facility		$24.55	$56.23	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $30.90 / $56.23	Professional		$11.22	$30.90	$56.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $87.10	Professional		$28.84	$43.65	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $11.75 / $21.88	Professional	26	$8.51	$11.75	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $38.90 / $61.66	Professional	TC	$20.42	$38.90	$61.66
Health New England Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $83.18 / $275.42	Facility		$25.12	$83.18	$275.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $69.18	Professional		$12.30	$16.60	$69.18
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $81.28 / $363.08	Facility		$24.55	$81.28	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $50.12 / $125.89 / $125.89	Facility	TC	$50.12	$125.89	$125.89
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $177.83	Professional		$23.44	$38.02	$177.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $77.62	Professional	26	$7.41	$11.75	$77.62
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.18 / $162.18	Professional	TC	$18.20	$28.18	$162.18
Tufts Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $338.84	Facility		$21.88	$33.88	$338.84
Tufts Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $53.70	Professional		$21.88	$29.51	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $147.91 / $302.00	Facility		$13.49	$147.91	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $79.43	Professional		$28.84	$38.90	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.75 / $22.91	Professional	26	$8.32	$11.75	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $27.54 / $54.95	Professional	TC	$19.95	$27.54	$54.95