Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $190.55 / $467.74	Facility		$30.90	$190.55	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $11.48 / $30.90	Facility	26	$6.03	$11.48	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.54 / $154.88 / $436.52	Facility	TC	$27.54	$154.88	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $33.88 / $114.82	Professional		$12.88	$33.88	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.60 / $44.67	Professional	26	$7.08	$16.60	$44.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $104.71 / $251.19	Professional	50	$33.11	$104.71	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $29.51 / $89.13	Professional	TC	$16.60	$29.51	$89.13
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $89.13 / $363.08	Facility		$26.92	$89.13	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $100.00 / $100.00	Facility	26	$18.20	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $54.95 / $138.04 / $138.04	Facility	TC	$54.95	$138.04	$138.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $186.21	Professional		$23.44	$39.81	$186.21
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.96 / $64.57	Professional	26	$6.76	$10.96	$64.57
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $162.18	Professional	TC	$19.05	$29.51	$162.18
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 $8.71 / $15.14 / $19.95	Professional	26	$8.71	$15.14	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $44.67 / $63.10	Professional	TC	$27.54	$44.67	$63.10
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 $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $43.65 / $81.28	Professional		$23.44	$43.65	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $11.75 / $22.91	Professional	26	$6.92	$11.75	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $33.11 / $63.10	Professional	TC	$18.20	$33.11	$63.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $56.23 / $7,079.46	Facility		$26.92	$56.23	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $33.11 / $61.66	Professional		$10.23	$33.11	$61.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $100.00	Professional		$29.51	$57.54	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $20.89	Professional	26	$7.94	$11.75	$20.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $61.66	Professional	TC	$21.88	$32.36	$61.66
Health New England Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $97.72 / $257.04	Facility		$23.44	$97.72	$257.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $61.66	Professional		$11.22	$15.49	$61.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $89.13 / $363.08	Facility		$26.92	$89.13	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $100.00 / $100.00	Facility	26	$18.20	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $54.95 / $138.04 / $138.04	Facility	TC	$54.95	$138.04	$138.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $186.21	Professional		$23.99	$39.81	$186.21
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $64.57	Professional	26	$7.08	$10.96	$64.57
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $29.51 / $162.18	Professional	TC	$19.05	$29.51	$162.18
Tufts Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $35.48 / $389.05	Facility		$22.39	$35.48	$389.05
Tufts Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $54.95	Professional		$22.39	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $117.49 / $251.19	Facility		$12.30	$117.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $81.28	Professional		$28.18	$39.81	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $10.96 / $21.38	Professional	26	$7.59	$10.96	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $28.84 / $58.88	Professional	TC	$20.42	$28.84	$58.88