Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $70.43 / $331.32	Facility		$33.33	$70.43	$331.32
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.22 / $12.69 / $16.88	Facility	26	$7.22	$12.69	$16.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $36.77 / $211.49 / $422.98	Facility	TC	$36.77	$211.49	$422.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $32.26 / $95.76	Professional		$9.92	$32.26	$95.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $10.56 / $41.90	Professional	26	$7.43	$10.56	$41.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.42 / $156.63 / $224.94	Professional	50	$51.42	$156.63	$224.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $23.69 / $77.31	Professional	TC	$15.29	$23.69	$77.31
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $103.78 / $359.91	Facility		$40.29	$103.78	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $22.36 / $100.00	Facility	26	$21.10	$22.36	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $54.35 / $68.12 / $140.51	Facility	TC	$54.35	$68.12	$140.51
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $49.22 / $221.82	Professional		$31.14	$49.22	$221.82
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $13.64 / $89.16	Professional	26	$8.18	$13.64	$89.16
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.29 / $41.61 / $177.00	Professional	TC	$23.29	$41.61	$177.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $98.31 / $191.07	Facility		$42.25	$98.31	$191.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $8.53 / $13.26	Professional		$5.19	$8.53	$13.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $17.32 / $23.04	Professional	26	$12.35	$17.32	$23.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.52 / $55.07 / $72.40	Professional	TC	$41.52	$55.07	$72.40
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 $33.86 / $54.21 / $110.43	Professional		$33.86	$54.21	$110.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $15.08 / $26.91	Professional	26	$9.49	$15.08	$26.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.05 / $41.00 / $83.84	Professional	TC	$25.05	$41.00	$83.84
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $83.43 / $6,679.00	Facility		$31.34	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $38.19 / $67.47	Professional		$11.60	$38.19	$67.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $85.80 / $114.04	Professional		$42.60	$85.80	$114.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $21.93 / $28.92	Professional	26	$11.06	$21.93	$28.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.54 / $62.90 / $82.48	Professional	TC	$31.54	$62.90	$82.48
Health New England Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $62.29 / $525.74	Facility		$19.11	$62.29	$525.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $21.88 / $79.55	Professional		$13.86	$21.88	$79.55
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $73.69 / $359.91 / $359.91	Facility		$73.69	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $100.00 / $100.00	Facility	26	$21.10	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $54.35 / $140.51 / $140.51	Facility	TC	$54.35	$140.51	$140.51
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $50.09 / $221.82	Professional		$33.08	$50.09	$221.82
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.50 / $89.16	Professional	26	$9.33	$15.50	$89.16
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.78 / $41.61 / $177.00	Professional	TC	$23.78	$41.61	$177.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $49.46 / $224.23	Facility		$27.07	$49.46	$224.23
Tufts Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $39.09 / $70.15	Professional		$27.31	$39.09	$70.15
United Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $45.17 / $82.44	Professional		$32.69	$45.17	$82.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.82 / $12.65 / $24.50	Professional	26	$8.82	$12.65	$24.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.34 / $33.95 / $61.96	Professional	TC	$23.34	$33.95	$61.96