Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $144.54 / $354.81	Facility		$33.88	$144.54	$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 $25.12 / $72.44 / $338.84	Facility	TC	$25.12	$72.44	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $154.88	Professional		$26.30	$51.29	$154.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $15.85 / $38.90	Professional	26	$7.08	$15.85	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $85.11	Professional	TC	$18.20	$30.20	$85.11
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $100.00 / $363.08	Facility		$30.20	$100.00	$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 $61.66 / $154.88 / $154.88	Facility	TC	$61.66	$154.88	$154.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $208.93	Professional		$26.92	$42.66	$208.93
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $83.18	Professional	26	$7.41	$11.75	$83.18
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $177.83	Professional	TC	$21.38	$32.36	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $141.25	Facility		$70.79	$109.65	$141.25
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 $30.90 / $50.12 / $70.79	Professional	TC	$30.90	$50.12	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $169.82 / $275.42	Facility		$63.10	$169.82	$275.42
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	TC	$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $91.20	Professional		$26.30	$46.77	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.88 / $25.12	Professional	26	$7.59	$12.88	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $36.31 / $70.79	Professional	TC	$19.95	$36.31	$70.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $56.23 / $7,079.46	Facility		$29.51	$56.23	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $37.15 / $67.61	Professional		$11.22	$37.15	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $100.00	Professional		$33.11	$50.12	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.59 / $21.88	Professional	26	$8.51	$12.59	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $41.69 / $70.79	Professional	TC	$28.84	$41.69	$70.79
Health New England Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $120.23 / $275.42	Facility		$38.02	$120.23	$275.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $60.26	Professional		$12.02	$17.38	$60.26
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $100.00 / $363.08	Facility		$30.20	$100.00	$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 $61.66 / $154.88 / $154.88	Facility	TC	$61.66	$154.88	$154.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $208.93	Professional		$26.92	$43.65	$208.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.75 / $83.18	Professional	26	$7.59	$11.75	$83.18
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $177.83	Professional	TC	$21.38	$32.36	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $117.49 / $251.19	Facility		$13.49	$117.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $89.13	Professional		$31.62	$43.65	$89.13
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 $22.91 / $31.62 / $66.07	Professional	TC	$22.91	$31.62	$66.07