Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.76 / $99.18 / $308.00	Facility		$50.76	$99.18	$308.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.39 / $15.02 / $20.02	Facility	26	$8.39	$15.02	$20.02
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $52.99 / $206.42 / $419.66	Facility	TC	$52.99	$206.42	$419.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $41.81 / $119.70	Professional		$11.19	$41.81	$119.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.39 / $11.51 / $38.22	Professional	26	$8.39	$11.51	$38.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $34.02 / $117.60	Professional	TC	$24.35	$34.02	$117.60
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $138.99 / $359.91	Facility		$46.34	$138.99	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $26.50 / $70.00	Facility	26	$25.22	$26.50	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $78.56 / $96.51 / $202.87	Facility	TC	$78.56	$96.51	$202.87
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $65.48 / $301.95	Professional		$43.06	$65.48	$301.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.33 / $15.11 / $68.20	Professional	26	$10.33	$15.11	$68.20
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.22 / $50.93 / $233.75	Professional	TC	$33.22	$50.93	$233.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $96.41 / $178.10	Facility		$71.23	$96.41	$178.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.74 / $20.51 / $27.26	Professional	26	$13.74	$20.51	$27.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $79.05 / $104.48	Professional	TC	$58.88	$79.05	$104.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.88 / $168.93 / $240.60	Facility		$71.88	$168.93	$240.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $73.98 / $150.68	Professional		$47.63	$73.98	$150.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $17.73 / $31.87	Professional	26	$11.34	$17.73	$31.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $56.71 / $118.82	Professional	TC	$35.72	$56.71	$118.82
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $85.76 / $6,679.00	Facility		$45.23	$85.76	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $54.67 / $93.13	Professional		$13.75	$54.67	$93.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $117.96 / $153.16	Professional		$58.57	$117.96	$153.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $26.15 / $34.28	Professional	26	$13.11	$26.15	$34.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $45.47 / $90.69 / $118.91	Professional	TC	$45.47	$90.69	$118.91
Health New England Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $98.15 / $330.35	Facility		$31.13	$98.15	$330.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $31.13 / $101.37	Professional		$15.60	$31.13	$101.37
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $101.59 / $359.91 / $359.91	Facility		$101.59	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $70.00 / $70.00	Facility	26	$25.22	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $78.56 / $202.87 / $202.87	Facility	TC	$78.56	$202.87	$202.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $64.16 / $301.95	Professional		$45.45	$64.16	$301.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $15.60 / $68.20	Professional	26	$11.20	$15.60	$68.20
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $34.25 / $48.88 / $233.75	Professional	TC	$34.25	$48.88	$233.75
Tufts Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $67.51 / $224.23	Facility		$33.09	$67.51	$224.23
Tufts Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $46.00 / $96.92	Professional		$33.60	$46.00	$96.92
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $63.69 / $111.28	Professional		$43.88	$63.69	$111.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.89 / $14.98 / $25.80	Professional	26	$10.89	$14.98	$25.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.13 / $46.92 / $88.26	Professional	TC	$34.13	$46.92	$88.26