Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $58.64 / $381.10	Facility		$42.14	$58.64	$381.10
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 $47.26 / $209.25 / $455.75	Facility	TC	$47.26	$209.25	$455.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $39.49 / $105.07	Professional		$13.34	$39.49	$105.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.28 / $47.22	Professional	26	$6.84	$11.28	$47.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $44.56 / $132.00 / $210.14	Professional	50	$44.56	$132.00	$210.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $30.87 / $84.31	Professional	TC	$21.11	$30.87	$84.31
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $131.82 / $359.91	Facility		$47.71	$131.82	$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 $70.01 / $86.73 / $180.83	Facility	TC	$70.01	$86.73	$180.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $57.51 / $263.06	Professional		$32.42	$57.51	$263.06
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.93 / $67.70	Professional	26	$7.88	$12.93	$67.70
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.18 / $51.94 / $209.88	Professional	TC	$26.18	$51.94	$209.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $89.05 / $178.10	Facility		$71.23	$89.05	$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 $12.18 / $16.09 / $24.45	Professional	26	$12.18	$16.09	$24.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.43 / $71.89 / $107.17	Professional	TC	$53.43	$71.89	$107.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $190.49 / $277.89	Facility		$69.22	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.66 / $23.66 / $23.66	Facility	TC	$23.66	$23.66	$23.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $64.56 / $131.53	Professional		$34.83	$64.56	$131.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $14.28 / $24.85	Professional	26	$8.89	$14.28	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $52.37 / $107.69	Professional	TC	$25.00	$52.37	$107.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $83.43 / $6,679.00	Facility		$40.33	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $48.36 / $80.88	Professional		$10.73	$48.36	$80.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $102.29 / $134.66	Professional		$50.79	$102.29	$134.66
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 $40.54 / $81.67 / $106.04	Professional	TC	$40.54	$81.67	$106.04
Health New England Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $122.25 / $465.73	Facility		$25.22	$122.25	$465.73
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $24.02 / $103.18	Professional		$12.83	$24.02	$103.18
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $87.91 / $359.91 / $359.91	Facility		$87.91	$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 $70.01 / $180.83 / $180.83	Facility	TC	$70.01	$180.83	$180.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $59.43 / $263.06	Professional		$35.44	$59.43	$263.06
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.64 / $67.70	Professional	26	$8.63	$13.64	$67.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.56 / $53.52 / $209.88	Professional	TC	$27.56	$53.52	$209.88
Tufts Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $102.48 / $229.86	Facility		$32.22	$102.48	$229.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $43.37 / $74.94	Professional		$32.22	$43.37	$74.94
United Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $52.62 / $129.16	Professional		$34.27	$52.62	$129.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.03 / $25.61	Professional	26	$8.51	$12.03	$25.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.41 / $40.54 / $78.70	Professional	TC	$26.41	$40.54	$78.70