Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $67.26 / $343.47	Facility		$29.98	$67.26	$343.47
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.67 / $10.80 / $14.34	Facility	26	$6.67	$10.80	$14.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.67 / $70.47 / $370.45	Facility	TC	$30.67	$70.47	$370.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $29.67 / $91.91	Professional		$18.12	$29.67	$91.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $9.10 / $26.92	Professional	26	$6.67	$9.10	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $21.63 / $62.08	Professional	TC	$14.13	$21.63	$62.08
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $97.12 / $359.91	Facility		$36.84	$97.12	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $19.84 / $100.00	Facility	26	$18.09	$19.84	$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 $29.55 / $47.64 / $204.50	Professional		$29.55	$47.64	$204.50
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $12.36 / $74.30	Professional	26	$7.80	$12.36	$74.30
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.78 / $39.42 / $176.00	Professional	TC	$22.78	$39.42	$176.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $98.46 / $191.07	Facility		$46.41	$98.46	$191.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $48.81 / $48.81	Professional		$48.81	$48.81	$48.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.46 / $14.68 / $22.43	Professional	26	$10.46	$14.68	$22.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.32 / $51.64 / $68.62	Professional	TC	$39.32	$51.64	$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 $31.93 / $50.03 / $101.88	Professional		$31.93	$50.03	$101.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $13.15 / $23.40	Professional	26	$8.21	$13.15	$23.40
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 $9.85 / $35.97 / $62.30	Professional		$9.85	$35.97	$62.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $80.65 / $109.48	Professional		$39.32	$80.65	$109.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $18.67 / $24.63	Professional	26	$9.42	$18.67	$24.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.90 / $60.22 / $78.19	Professional	TC	$29.90	$60.22	$78.19
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $83.36 / $320.10	Facility		$16.98	$83.36	$320.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $22.24 / $63.75	Professional		$11.21	$22.24	$63.75
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $359.91 / $359.91	Facility		$67.92	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$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 / $204.50	Professional		$31.54	$48.43	$204.50
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $13.64 / $74.30	Professional	26	$8.41	$13.64	$74.30
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $39.42 / $176.00	Professional	TC	$23.10	$39.42	$176.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $36.01 / $146.38	Facility		$25.48	$36.01	$146.38
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $31.71 / $49.67	Professional		$25.48	$31.71	$49.67
United Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $41.82 / $76.04	Professional		$31.46	$41.82	$76.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $10.83 / $20.70	Professional	26	$8.18	$10.83	$20.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $32.61 / $57.96	Professional	TC	$23.05	$32.61	$57.96