Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $29.44 / $231.16	Facility		$26.40	$29.44	$231.16
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.67 / $11.75 / $14.43	Facility	26	$6.67	$11.75	$14.43
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.52 / $28.19 / $226.80	Facility	TC	$24.52	$28.19	$226.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.78 / $83.23	Professional		$21.38	$29.78	$83.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $9.38 / $27.00	Professional	26	$6.67	$9.38	$27.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.71 / $18.87 / $69.48	Professional	TC	$14.71	$18.87	$69.48
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $78.42 / $359.91	Facility		$32.15	$78.42	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $20.67 / $100.00	Facility	26	$19.60	$20.67	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $41.54 / $52.11 / $107.45	Facility	TC	$41.54	$52.11	$107.45
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $43.78 / $178.47	Professional		$27.22	$43.78	$178.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.93 / $77.59	Professional	26	$7.88	$12.93	$77.59
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $31.85 / $163.00	Professional	TC	$19.80	$31.85	$163.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.17 / $160.83 / $321.64	Facility		$87.17	$160.83	$321.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $16.09 / $27.05	Professional	26	$12.18	$16.09	$27.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.79 / $42.77 / $63.75	Professional	TC	$31.79	$42.77	$63.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $245.96 / $376.13	Facility		$64.34	$245.96	$376.13
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.23 / $23.23 / $23.23	Facility	TC	$23.23	$23.23	$23.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $48.00 / $89.54	Professional		$28.38	$48.00	$89.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $14.34 / $24.85	Professional	26	$8.89	$14.34	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.31 / $36.28 / $66.75	Professional	TC	$21.31	$36.28	$66.75
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $83.43 / $6,679.00	Facility		$23.99	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $29.23 / $52.58	Professional		$10.73	$29.23	$52.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $64.52 / $91.24	Professional		$22.51	$64.52	$91.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $20.21 / $26.78	Professional	26	$10.24	$20.21	$26.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $48.20 / $63.21	Professional	TC	$24.17	$48.20	$63.21
Health New England Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $58.28 / $255.18	Facility		$17.67	$58.28	$255.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $18.59 / $68.84	Professional		$12.83	$18.59	$68.84
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $359.91 / $359.91	Facility		$59.41	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $41.54 / $107.45 / $107.45	Facility	TC	$41.54	$107.45	$107.45
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $44.07 / $178.47	Professional		$28.87	$44.07	$178.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $14.42 / $77.59	Professional	26	$8.63	$14.42	$77.59
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $32.11 / $163.00	Professional	TC	$19.85	$32.11	$163.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $116.73 / $294.08	Facility		$22.66	$116.73	$294.08
Tufts Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $35.09 / $58.21	Professional		$24.10	$35.09	$58.21
United Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $39.95 / $83.84	Professional		$28.56	$39.95	$83.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.40 / $20.75	Professional	26	$8.46	$11.40	$20.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.84 / $28.26 / $49.84	Professional	TC	$19.84	$28.26	$49.84