Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $79.50 / $333.47	Facility		$34.47	$79.50	$333.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.52 / $11.75 / $15.61	Facility	26	$6.52	$11.75	$15.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.97 / $70.47 / $327.86	Facility	TC	$24.97	$70.47	$327.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $30.30 / $93.16	Professional		$21.81	$30.30	$93.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $8.75 / $26.92	Professional	26	$6.52	$8.75	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.69 / $62.85	Professional	TC	$15.29	$21.69	$62.85
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $97.12 / $359.91	Facility		$37.61	$97.12	$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 $51.52 / $64.54 / $133.13	Facility	TC	$51.52	$64.54	$133.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $47.64 / $208.83	Professional		$29.57	$47.64	$208.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.93 / $82.56	Professional	26	$7.88	$12.93	$82.56
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $39.44 / $176.00	Professional	TC	$22.70	$39.44	$176.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $98.31 / $191.07	Facility		$44.24	$98.31	$191.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.88 / $10.64	Professional		$4.79	$7.88	$10.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $16.00 / $27.05	Professional	26	$10.66	$16.00	$27.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.32 / $52.19 / $68.62	Professional	TC	$39.32	$52.19	$68.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $190.49 / $277.89	Facility		$73.48	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.97 / $25.97 / $25.97	Facility	TC	$25.97	$25.97	$25.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $51.03 / $103.95	Professional		$32.60	$51.03	$103.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $13.83 / $24.85	Professional	26	$8.89	$13.83	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $38.83 / $80.14	Professional	TC	$24.07	$38.83	$80.14
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $83.43 / $6,679.00	Facility		$29.71	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $36.21 / $63.56	Professional		$10.73	$36.21	$63.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $80.84 / $106.69	Professional		$40.14	$80.84	$106.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $20.42 / $26.78	Professional	26	$10.24	$20.42	$26.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.90 / $59.63 / $78.19	Professional	TC	$29.90	$59.63	$78.19
Health New England Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $84.52 / $274.80	Facility		$17.67	$84.52	$274.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $17.57 / $70.16	Professional		$12.83	$17.57	$70.16
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $359.91 / $359.91	Facility		$69.39	$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 $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $48.43 / $208.83	Professional		$31.54	$48.43	$208.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.48 / $82.56	Professional	26	$8.63	$13.48	$82.56
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $39.44 / $176.00	Professional	TC	$22.74	$39.44	$176.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $42.24 / $75.94	Professional		$31.45	$42.24	$75.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.69 / $21.79	Professional	26	$8.46	$11.69	$21.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $30.88 / $57.31	Professional	TC	$22.70	$30.88	$57.31