Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.99 / $68.94 / $365.80	Facility		$39.99	$68.94	$365.80
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.52 / $11.75 / $15.61	Facility	26	$6.52	$11.75	$15.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $41.53 / $222.70 / $560.17	Facility	TC	$41.53	$222.70	$560.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $34.29 / $98.08	Professional		$9.16	$34.29	$98.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.15 / $49.72	Professional	26	$6.84	$11.15	$49.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.54 / $123.46 / $210.54	Professional	50	$36.54	$123.46	$210.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $26.42 / $77.36	Professional	TC	$17.32	$26.42	$77.36
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $115.78 / $359.91	Facility		$43.04	$115.78	$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 $61.48 / $76.09 / $158.84	Facility	TC	$61.48	$76.09	$158.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $51.82 / $234.86	Professional		$29.98	$51.82	$234.86
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 $24.85 / $45.62 / $181.68	Professional	TC	$24.85	$45.62	$181.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $98.31 / $191.07	Facility		$44.10	$98.31	$191.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.19 / $16.17 / $24.45	Professional	26	$12.19	$16.17	$24.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.93 / $63.15 / $94.13	Professional	TC	$46.93	$63.15	$94.13
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 $32.78 / $57.53 / $117.19	Professional		$32.78	$57.53	$117.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $13.83 / $24.85	Professional	26	$8.89	$13.83	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $45.33 / $94.47	Professional	TC	$24.63	$45.33	$94.47
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $35.43 / $83.43 / $6,679.00	Facility		$35.43	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $42.83 / $72.89	Professional		$10.73	$42.83	$72.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $92.87 / $121.95	Professional		$45.88	$92.87	$121.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $20.30 / $26.78	Professional	26	$10.24	$20.30	$26.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.64 / $70.34 / $93.20	Professional	TC	$35.64	$70.34	$93.20
Health New England Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $98.53 / $332.08	Facility		$17.67	$98.53	$332.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $25.22 / $97.72	Professional		$12.83	$25.22	$97.72
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $359.91 / $359.91	Facility		$79.34	$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 $61.48 / $158.84 / $158.84	Facility	TC	$61.48	$158.84	$158.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $52.26 / $234.86	Professional		$33.93	$52.26	$234.86
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.48 / $67.70	Professional	26	$8.63	$13.48	$67.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $47.03 / $181.68	Professional	TC	$25.62	$47.03	$181.68
Tufts Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $99.94 / $235.64	Facility		$28.24	$99.94	$235.64
Tufts Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $42.00 / $75.91	Professional		$28.24	$42.00	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $45.24 / $87.10	Professional		$31.63	$45.24	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.20 / $20.68	Professional	26	$8.46	$11.20	$20.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $34.90 / $69.14	Professional	TC	$24.86	$34.90	$69.14