Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.28 / $38.74 / $337.77	Facility		$33.28	$38.74	$337.77
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.67 / $11.75 / $15.61	Facility	26	$6.67	$11.75	$15.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.85 / $210.06 / $392.62	Facility	TC	$34.85	$210.06	$392.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $34.40 / $87.37	Professional		$11.68	$34.40	$87.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.06 / $49.72	Professional	26	$6.84	$11.06	$49.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.46 / $53.84 / $240.62	Professional	50	$37.46	$53.84	$240.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $26.62 / $84.24	Professional	TC	$17.91	$26.62	$84.24
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.99 / $98.42 / $359.91	Facility		$37.99	$98.42	$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 $29.55 / $48.43 / $208.83	Professional		$29.55	$48.43	$208.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.92 / $74.30	Professional	26	$7.88	$12.92	$74.30
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $39.92 / $176.00	Professional	TC	$22.34	$39.92	$176.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $98.31 / $178.10	Facility		$71.23	$98.31	$178.10
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 $9.57 / $15.74 / $21.26	Professional	26	$9.57	$15.74	$21.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.67 / $51.92 / $78.93	Professional	TC	$38.67	$51.92	$78.93
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 $32.96 / $54.23 / $103.95	Professional		$32.96	$54.23	$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 $24.85 / $42.59 / $80.14	Professional	TC	$24.85	$42.59	$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 / $64.51	Professional		$10.73	$36.21	$64.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $80.84 / $107.53	Professional		$40.14	$80.84	$107.53
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 / $59.36 / $317.05	Facility		$17.67	$59.36	$317.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $25.22 / $85.27	Professional		$12.18	$25.22	$85.27
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 / $49.01 / $208.83	Professional		$31.54	$49.01	$208.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.48 / $74.30	Professional	26	$8.63	$13.48	$74.30
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.45 / $39.92 / $176.00	Professional	TC	$22.45	$39.92	$176.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $28.29 / $99.94 / $235.64	Facility		$28.29	$99.94	$235.64
Tufts Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $39.00 / $66.84	Professional		$28.71	$39.00	$66.84
United Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $43.56 / $77.06	Professional		$31.40	$43.56	$77.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $11.69 / $22.29	Professional	26	$8.49	$11.69	$22.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $31.87 / $62.99	Professional	TC	$22.38	$31.87	$62.99