Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $85.11 / $398.11	Facility		$38.02	$85.11	$398.11
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $10.96 / $43.65	Facility	26	$7.94	$10.96	$43.65
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.39 / $81.28 / $281.84	Facility	TC	$22.39	$81.28	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $169.82	Professional		$33.11	$57.54	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $16.22 / $47.86	Professional	26	$8.91	$16.22	$47.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $120.23 / $194.98	Professional	50	$50.12	$120.23	$194.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	52	$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $32.36 / $123.03	Professional	TC	$22.39	$32.36	$123.03
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $263.03 / $363.08	Facility		$38.02	$263.03	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $26.30 / $70.79	Facility	26	$12.02	$26.30	$70.79
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $81.28 / $194.98	Facility	TC	$35.48	$81.28	$194.98
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $147.91	Professional		$35.48	$52.48	$147.91
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.80 / $67.61	Professional	26	$9.33	$13.80	$67.61
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $38.90 / $194.98	Professional	TC	$26.30	$38.90	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $229.09	Facility		$128.82	$162.18	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $20.89 / $28.18	Professional	26	$12.30	$20.89	$28.18
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $25.70 / $43.65 / $58.88	Professional	52	$25.70	$43.65	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $57.54	Professional	TC	$38.90	$38.90	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $199.53 / $446.68	Facility		$47.86	$199.53	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $114.82	Professional		$35.48	$61.66	$114.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $31.62	Professional	26	$10.00	$16.22	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $45.71 / $87.10	Professional	TC	$25.12	$45.71	$87.10
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $7,079.46	Facility		$33.11	$74.13	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $48.98 / $87.10	Professional		$14.45	$48.98	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $131.83	Professional		$43.65	$67.61	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.22 / $28.84	Professional	26	$11.22	$16.22	$28.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $89.13	Professional	TC	$32.36	$45.71	$89.13
Health New England Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $151.36 / $478.63	Facility		$60.26	$151.36	$478.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $34.67 / $89.13	Professional		$15.49	$34.67	$89.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $263.03 / $363.08	Facility		$38.02	$263.03	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $26.30 / $70.79	Facility	26	$12.02	$26.30	$70.79
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $81.28 / $194.98	Facility	TC	$35.48	$81.28	$194.98
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $263.03	Professional		$37.15	$53.70	$263.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.13 / $67.61	Professional	26	$9.55	$14.13	$67.61
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $39.81 / $194.98	Professional	TC	$27.54	$39.81	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $147.91 / $302.00	Facility		$18.62	$147.91	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $117.49	Professional		$39.81	$56.23	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.14 / $29.51	Professional	26	$10.96	$15.14	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $87.10	Professional	TC	$28.84	$40.74	$87.10