Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $158.49 / $363.08	Facility		$38.90	$158.49	$363.08
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $8.91 / $34.67	Facility	26	$7.08	$8.91	$34.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $28.18 / $117.49 / $478.63	Facility	TC	$28.18	$117.49	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $37.15 / $134.90	Professional		$9.12	$37.15	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $15.85 / $51.29	Professional	26	$7.94	$15.85	$51.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $138.04 / $257.04	Professional	50	$38.90	$138.04	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $91.20	Professional	TC	$19.05	$30.20	$91.20
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $138.04 / $363.08	Facility		$33.88	$138.04	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $21.38 / $70.79	Facility	26	$9.77	$21.38	$70.79
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $31.62 / $72.44 / $169.82	Facility	TC	$31.62	$72.44	$169.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $128.82	Professional		$30.90	$44.67	$128.82
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.22 / $54.95	Professional	26	$7.59	$11.22	$54.95
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.88 / $169.82	Professional	TC	$22.91	$33.88	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $128.82	Facility		$70.79	$89.13	$128.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.22 / $22.91	Professional	26	$10.00	$16.22	$22.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $56.23 / $77.62	Professional	TC	$34.67	$56.23	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $162.18 / $239.88	Facility		$42.66	$162.18	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $100.00	Professional		$28.84	$53.70	$100.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.18 / $25.70	Professional	26	$8.13	$13.18	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $39.81 / $75.86	Professional	TC	$21.38	$39.81	$75.86
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $7,079.46	Facility		$28.84	$64.57	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $42.66 / $74.13	Professional		$11.75	$42.66	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $112.20	Professional		$36.31	$58.88	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.49 / $23.99	Professional	26	$9.12	$13.49	$23.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $77.62	Professional	TC	$27.54	$42.66	$77.62
Health New England Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $100.00 / $363.08	Facility		$26.30	$100.00	$363.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $75.86	Professional		$12.59	$18.20	$75.86
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $138.04 / $363.08	Facility		$33.88	$138.04	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $21.38 / $70.79	Facility	26	$9.77	$21.38	$70.79
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $31.62 / $72.44 / $169.82	Facility	TC	$31.62	$72.44	$169.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $223.87	Professional		$30.90	$45.71	$223.87
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.48 / $54.95	Professional	26	$7.76	$11.48	$54.95
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.88 / $169.82	Professional	TC	$22.91	$33.88	$169.82
Tufts Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $125.89 / $398.11	Facility		$28.18	$125.89	$398.11
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $63.10	Professional		$25.70	$32.36	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $117.49 / $251.19	Facility		$15.14	$117.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $100.00	Professional		$34.67	$48.98	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.02 / $23.99	Professional	26	$8.91	$12.02	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $35.48 / $74.13	Professional	TC	$25.12	$35.48	$74.13