Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $53.87 / $74.30	Facility		$32.32	$53.87	$74.30
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.26 / $11.28 / $23.28	Facility	26	$6.26	$11.28	$23.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.13 / $59.24 / $230.18	Facility	TC	$14.13	$59.24	$230.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $28.04 / $80.38	Professional		$20.39	$28.04	$80.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $9.10 / $34.54	Professional	26	$6.26	$9.10	$34.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.60 / $129.94 / $190.76	Professional	50	$48.60	$129.94	$190.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.19 / $13.95 / $19.73	Professional	52	$10.19	$13.95	$19.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $20.28 / $47.50	Professional	TC	$14.13	$20.28	$47.50
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $94.44 / $359.91	Facility		$36.45	$94.44	$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 $49.38 / $61.89 / $127.63	Facility	TC	$49.38	$61.89	$127.63
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $44.20 / $200.17	Professional		$27.16	$44.20	$200.17
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $12.12 / $61.09	Professional	26	$7.17	$12.12	$61.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.92 / $37.81 / $154.00	Professional	TC	$20.92	$37.81	$154.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $177.55 / $345.07	Facility		$34.36	$177.55	$345.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $15.40 / $23.53	Professional	26	$10.68	$15.40	$23.53
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $6.22 / $21.75 / $38.76	Professional	52	$6.22	$21.75	$38.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.90 / $245.96 / $376.13	Facility		$64.90	$245.96	$376.13
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 $30.00 / $48.94 / $99.68	Professional		$30.00	$48.94	$99.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $13.11 / $23.89	Professional	26	$8.28	$13.11	$23.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.92 / $37.21 / $76.84	Professional	TC	$21.92	$37.21	$76.84
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $80.70 / $6,679.00	Facility		$28.49	$80.70	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $34.71 / $60.97	Professional		$10.30	$34.71	$60.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $76.78 / $103.19	Professional		$38.50	$76.78	$103.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $19.48 / $25.71	Professional	26	$9.83	$19.48	$25.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.67 / $57.74 / $74.97	Professional	TC	$28.67	$57.74	$74.97
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $61.49 / $532.76	Facility		$16.64	$61.49	$532.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $23.13 / $66.30	Professional		$12.32	$23.13	$66.30
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $359.91 / $359.91	Facility		$66.52	$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 $49.38 / $127.63 / $127.63	Facility	TC	$49.38	$127.63	$127.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $45.98 / $200.17	Professional		$29.36	$45.98	$200.17
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $12.96 / $61.09	Professional	26	$8.15	$12.96	$61.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.97 / $37.81 / $154.00	Professional	TC	$21.97	$37.81	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $40.83 / $75.37	Professional		$28.85	$40.83	$75.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $11.23 / $19.87	Professional	26	$7.63	$11.23	$19.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.50 / $31.37 / $72.19	Professional	TC	$21.50	$31.37	$72.19