Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $120.23 / $457.09	Facility		$38.02	$120.23	$457.09
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $13.49 / $36.31	Facility	26	$7.08	$13.49	$36.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.18 / $213.80 / $562.34	Facility	TC	$28.18	$213.80	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $40.74 / $131.83	Professional		$9.77	$40.74	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $16.98 / $48.98	Professional	26	$8.51	$16.98	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $100.00 / $223.87	Professional	50	$35.48	$100.00	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $39.81 / $104.71	Professional	TC	$19.95	$39.81	$104.71
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $107.15 / $363.08	Facility		$32.36	$107.15	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $100.00 / $100.00	Facility	26	$21.38	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $64.57 / $165.96 / $165.96	Facility	TC	$64.57	$165.96	$165.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $223.87	Professional		$27.54	$45.71	$223.87
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $89.13	Professional	26	$7.76	$12.59	$89.13
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $33.88 / $177.83	Professional	TC	$21.38	$33.88	$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 $10.47 / $17.78 / $23.44	Professional	26	$10.47	$17.78	$23.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $53.70 / $74.13	Professional	TC	$32.36	$53.70	$74.13
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 $26.92 / $48.98 / $95.50	Professional		$26.92	$48.98	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.13 / $26.92	Professional	26	$7.94	$14.13	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.90 / $74.13	Professional	TC	$20.89	$38.90	$74.13
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $63.10 / $7,079.46	Facility		$29.51	$63.10	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $41.69 / $72.44	Professional		$12.02	$41.69	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $112.20	Professional		$36.31	$57.54	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.80 / $23.99	Professional	26	$9.33	$13.80	$23.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $41.69 / $75.86	Professional	TC	$27.54	$41.69	$75.86
Health New England Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $104.71 / $524.81	Facility		$28.18	$104.71	$524.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $58.88	Professional		$12.88	$16.98	$58.88
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $107.15 / $363.08	Facility		$32.36	$107.15	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $100.00 / $100.00	Facility	26	$21.38	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $64.57 / $165.96 / $165.96	Facility	TC	$64.57	$165.96	$165.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $223.87	Professional		$28.84	$45.71	$223.87
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $89.13	Professional	26	$7.94	$12.59	$89.13
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.88 / $177.83	Professional	TC	$21.88	$33.88	$177.83
Tufts Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $42.66 / $398.11	Facility		$24.55	$42.66	$398.11
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $61.66	Professional		$25.70	$42.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $117.49 / $251.19	Facility		$14.13	$117.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $100.00	Professional		$31.62	$46.77	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $25.12	Professional	26	$8.91	$12.59	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.88 / $72.44	Professional	TC	$23.44	$33.88	$72.44