Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $40.18 / $104.08	Facility		$32.81	$40.18	$104.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.42 / $11.28 / $23.28	Facility	26	$6.42	$11.28	$23.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.34 / $70.81 / $321.89	Facility	TC	$26.34	$70.81	$321.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $32.33 / $89.48	Professional		$19.00	$32.33	$89.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $9.10 / $31.72	Professional	26	$6.42	$9.10	$31.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.12 / $135.28 / $191.08	Professional	50	$52.12	$135.28	$191.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.44 / $15.75 / $46.11	Professional	52	$11.44	$15.75	$46.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $23.23 / $71.98	Professional	TC	$16.45	$23.23	$71.98
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $103.78 / $359.91	Facility		$39.17	$103.78	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $19.84 / $100.00	Facility	26	$18.72	$19.84	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $54.35 / $68.98 / $140.51	Facility	TC	$54.35	$68.98	$140.51
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $47.56 / $217.55	Professional		$28.16	$47.56	$217.55
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $12.12 / $59.45	Professional	26	$7.17	$12.12	$59.45
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.78 / $41.58 / $166.53	Professional	TC	$22.78	$41.58	$166.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $98.31 / $191.07	Facility		$34.36	$98.31	$191.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $15.48 / $23.53	Professional	26	$11.73	$15.48	$23.53
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $6.26 / $20.90 / $45.47	Professional	52	$6.26	$20.90	$45.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.90 / $190.49 / $277.89	Facility		$64.90	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $21.92 / $21.92 / $21.92	Facility	TC	$21.92	$21.92	$21.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $53.27 / $108.50	Professional		$30.96	$53.27	$108.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $13.79 / $24.01	Professional	26	$8.28	$13.79	$24.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.17 / $41.54 / $85.65	Professional	TC	$22.17	$41.54	$85.65
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $31.34 / $80.70 / $6,679.00	Facility		$31.34	$80.70	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $37.89 / $65.64	Professional		$10.30	$37.89	$65.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $83.32 / $110.80	Professional		$41.37	$83.32	$110.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $19.60 / $25.71	Professional	26	$9.83	$19.60	$25.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.54 / $62.90 / $82.48	Professional	TC	$31.54	$62.90	$82.48
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $44.64 / $258.70	Facility		$16.64	$44.64	$258.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $25.16 / $64.59	Professional		$11.69	$25.16	$64.59
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $359.91 / $359.91	Facility		$71.48	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $100.00 / $100.00	Facility	26	$18.72	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $54.35 / $140.51 / $140.51	Facility	TC	$54.35	$140.51	$140.51
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $49.41 / $217.55	Professional		$31.07	$49.41	$217.55
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $13.86 / $59.45	Professional	26	$8.27	$13.86	$59.45
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.34 / $41.61 / $166.53	Professional	TC	$23.34	$41.61	$166.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $41.92 / $81.76	Professional		$30.73	$41.92	$81.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $10.77 / $19.86	Professional	26	$7.17	$10.77	$19.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.85 / $32.77 / $61.94	Professional	TC	$22.85	$32.77	$61.94