Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $38.59 / $247.23	Facility		$27.33	$38.59	$247.23
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.26 / $10.80 / $14.34	Facility	26	$6.26	$10.80	$14.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $31.05 / $70.75 / $379.24	Facility	TC	$31.05	$70.75	$379.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $28.12 / $81.44	Professional		$17.27	$28.12	$81.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $9.80 / $26.29	Professional	26	$6.26	$9.80	$26.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.98 / $50.34 / $189.32	Professional	50	$42.98	$50.34	$189.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $20.64 / $68.56	Professional	TC	$13.84	$20.64	$68.56
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $86.43 / $359.91	Facility		$33.74	$86.43	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $18.95 / $100.00	Facility	26	$18.04	$18.95	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $57.45 / $118.47	Facility	TC	$45.82	$57.45	$118.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $43.54 / $187.12	Professional		$26.56	$43.54	$187.12
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $12.12 / $64.39	Professional	26	$7.17	$12.12	$64.39
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.16 / $35.08 / $161.00	Professional	TC	$20.16	$35.08	$161.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $101.51 / $191.07	Facility		$47.85	$101.51	$191.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $14.68 / $24.82	Professional	26	$8.77	$14.68	$24.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.04 / $47.14 / $70.27	Professional	TC	$35.04	$47.14	$70.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $190.49 / $277.89	Facility		$68.14	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.23 / $23.23 / $23.23	Facility	TC	$23.23	$23.23	$23.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $45.69 / $93.06	Professional		$29.27	$45.69	$93.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $13.11 / $23.39	Professional	26	$8.21	$13.11	$23.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $34.56 / $71.33	Professional	TC	$21.58	$34.56	$71.33
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $83.43 / $6,679.00	Facility		$26.66	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $32.22 / $56.96	Professional		$9.85	$32.22	$56.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $71.88 / $95.79	Professional		$36.04	$71.88	$95.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $18.79 / $24.63	Professional	26	$9.42	$18.79	$24.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $52.77 / $69.61	Professional	TC	$26.62	$52.77	$69.61
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $58.75 / $253.11	Facility		$16.98	$58.75	$253.11
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $23.35 / $67.06	Professional		$11.80	$23.35	$67.06
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $359.91 / $359.91	Facility		$62.24	$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 $45.82 / $118.47 / $118.47	Facility	TC	$45.82	$118.47	$118.47
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $44.07 / $187.12	Professional		$28.94	$44.07	$187.12
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $12.56 / $64.39	Professional	26	$7.86	$12.56	$64.39
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $35.08 / $161.00	Professional	TC	$20.57	$35.08	$161.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $25.71 / $108.91	Facility		$23.07	$25.71	$108.91
Tufts Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $34.07 / $61.14	Professional		$24.60	$34.07	$61.14
United Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $38.85 / $75.06	Professional		$28.35	$38.85	$75.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $11.21 / $19.92	Professional	26	$7.80	$11.21	$19.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $29.30 / $58.51	Professional	TC	$20.53	$29.30	$58.51