Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $208.93 / $467.74	Facility		$34.67	$208.93	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $12.30 / $33.88	Facility	26	$6.03	$12.30	$33.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $109.65 / $436.52	Facility	TC	$25.70	$109.65	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $37.15 / $141.25	Professional		$10.96	$37.15	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $17.38 / $42.66	Professional	26	$7.76	$17.38	$42.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $120.23 / $239.88	Professional	50	$30.20	$120.23	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $39.81 / $100.00	Professional	TC	$19.95	$39.81	$100.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $102.33 / $363.08	Facility		$30.90	$102.33	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $61.66 / $154.88 / $154.88	Facility	TC	$61.66	$154.88	$154.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $208.93	Professional		$26.92	$43.65	$208.93
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $74.13	Professional	26	$7.41	$11.75	$74.13
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $177.83	Professional	TC	$21.38	$31.62	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $128.82	Facility		$70.79	$89.13	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.22 / $21.88	Professional	26	$9.55	$16.22	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $52.48 / $70.79	Professional	TC	$30.90	$52.48	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $169.82 / $275.42	Facility		$44.67	$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 $28.18 / $48.98 / $95.50	Professional		$28.18	$48.98	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.88 / $25.12	Professional	26	$7.59	$12.88	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $38.90 / $74.13	Professional	TC	$21.38	$38.90	$74.13
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $7,079.46	Facility		$29.51	$58.88	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $38.90 / $70.79	Professional		$11.22	$38.90	$70.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $104.71	Professional		$33.88	$52.48	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.59 / $22.39	Professional	26	$8.51	$12.59	$22.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $74.13	Professional	TC	$28.84	$40.74	$74.13
Health New England Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $117.49 / $363.08	Facility		$25.12	$117.49	$363.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $64.57	Professional		$11.75	$15.85	$64.57
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $102.33 / $363.08	Facility		$30.90	$102.33	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $61.66 / $154.88 / $154.88	Facility	TC	$61.66	$154.88	$154.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $208.93	Professional		$26.92	$43.65	$208.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $74.13	Professional	26	$7.41	$11.75	$74.13
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $177.83	Professional	TC	$21.38	$32.36	$177.83
Tufts Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $89.13 / $263.03	Facility		$25.70	$89.13	$263.03
Tufts Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $60.26	Professional		$27.54	$41.69	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $117.49 / $251.19	Facility		$13.49	$117.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $93.33	Professional		$30.90	$43.65	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.75 / $22.91	Professional	26	$8.32	$11.75	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $67.61	Professional	TC	$22.39	$31.62	$67.61