Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $50.69 / $243.52	Facility		$34.20	$50.69	$243.52
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.07 / $12.22 / $16.23	Facility	26	$7.07	$12.22	$16.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.71 / $78.20 / $453.60	Facility	TC	$27.71	$78.20	$453.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $33.06 / $91.00	Professional		$18.66	$33.06	$91.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $9.51 / $48.10	Professional	26	$7.07	$9.51	$48.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.14 / $78.00 / $151.30	Professional	50	$38.14	$78.00	$151.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.52 / $24.23 / $84.80	Professional	TC	$18.52	$24.23	$84.80
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $104.94 / $359.91	Facility		$33.78	$104.94	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $21.47 / $70.00	Facility	26	$20.44	$21.47	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $57.20 / $71.66 / $147.82	Facility	TC	$57.20	$71.66	$147.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $49.80 / $226.14	Professional		$32.86	$49.80	$226.14
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $12.25 / $55.28	Professional	26	$8.69	$12.25	$55.28
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.35 / $37.60 / $170.86	Professional	TC	$24.35	$37.60	$170.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $105.23 / $191.07	Facility		$49.60	$105.23	$191.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.99 / $1.63 / $2.20	Professional		$0.99	$1.63	$2.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.84 / $16.62 / $21.63	Professional	26	$11.84	$16.62	$21.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.68 / $57.94 / $96.94	Professional	TC	$44.68	$57.94	$96.94
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 $35.94 / $55.30 / $112.63	Professional		$35.94	$55.30	$112.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $14.85 / $25.81	Professional	26	$9.38	$14.85	$25.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $42.63 / $86.82	Professional	TC	$26.47	$42.63	$86.82
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $80.26 / $6,679.00	Facility		$32.97	$80.26	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $40.10 / $69.45	Professional		$11.15	$40.10	$69.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $88.27 / $116.50	Professional		$43.83	$88.27	$116.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $21.24 / $27.85	Professional	26	$10.65	$21.24	$27.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.18 / $66.81 / $86.77	Professional	TC	$33.18	$66.81	$86.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $60.24 / $354.63	Facility		$18.36	$60.24	$354.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $27.09 / $75.69	Professional		$13.62	$27.09	$75.69
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $359.91 / $359.91	Facility		$75.83	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $70.00 / $70.00	Facility	26	$20.47	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $57.20 / $147.82 / $147.82	Facility	TC	$57.20	$147.82	$147.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $49.86 / $226.14	Professional		$34.68	$49.86	$226.14
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $12.49 / $55.28	Professional	26	$9.07	$12.49	$55.28
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.58 / $36.53 / $170.86	Professional	TC	$25.58	$36.53	$170.86
Tufts Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $30.92 / $144.30	Facility		$23.53	$30.92	$144.30
Tufts Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $38.10 / $73.69	Professional		$26.21	$38.10	$73.69
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $48.66 / $86.10	Professional		$34.68	$48.66	$86.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.98 / $12.13 / $20.90	Professional	26	$8.98	$12.13	$20.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.31 / $36.53 / $91.71	Professional	TC	$25.31	$36.53	$91.71