Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $74.62 / $298.58	Facility		$34.61	$74.62	$298.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.96 / $11.28 / $14.98	Facility	26	$6.96	$11.28	$14.98
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.80 / $84.94 / $397.22	Facility	TC	$27.80	$84.94	$397.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $32.89 / $89.25	Professional		$17.82	$32.89	$89.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $11.05 / $49.72	Professional	26	$6.96	$11.05	$49.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.72 / $129.94 / $205.14	Professional	50	$49.72	$129.94	$205.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.42 / $15.43 / $19.44	Professional	52	$11.42	$15.43	$19.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.87 / $24.00 / $72.08	Professional	TC	$15.87	$24.00	$72.08
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $105.12 / $359.91	Facility		$39.57	$105.12	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $19.84 / $100.00	Facility	26	$18.72	$19.84	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $69.87 / $142.31	Facility	TC	$55.06	$69.87	$142.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $48.63 / $219.71	Professional		$29.06	$48.63	$219.71
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.64 / $67.70	Professional	26	$7.88	$12.64	$67.70
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.36 / $42.14 / $168.70	Professional	TC	$22.36	$42.14	$168.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $89.05 / $178.10	Facility		$71.23	$89.05	$178.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $15.40 / $23.53	Professional	26	$10.68	$15.40	$23.53
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $4.61 / $7.58 / $10.24	Professional	52	$4.61	$7.58	$10.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $56.83 / $93.35	Professional	TC	$42.07	$56.83	$93.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $190.49 / $277.89	Facility		$68.14	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.23 / $23.23 / $23.23	Facility	TC	$23.23	$23.23	$23.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $53.81 / $109.61	Professional		$32.61	$53.81	$109.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $13.79 / $23.89	Professional	26	$8.52	$13.79	$23.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $41.85 / $86.75	Professional	TC	$23.23	$41.85	$86.75
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $83.43 / $6,679.00	Facility		$31.75	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $38.38 / $66.30	Professional		$10.30	$38.38	$66.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $84.14 / $111.88	Professional		$41.78	$84.14	$111.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $19.48 / $25.71	Professional	26	$9.83	$19.48	$25.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.92 / $65.84 / $84.92	Professional	TC	$38.92	$65.84	$84.92
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $59.76 / $254.88	Facility		$16.98	$59.76	$254.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $24.28 / $82.61	Professional		$12.67	$24.28	$82.61
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $359.91 / $359.91	Facility		$72.20	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $100.00 / $100.00	Facility	26	$18.72	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $142.31 / $142.31	Facility	TC	$55.06	$142.31	$142.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $49.91 / $219.71	Professional		$32.22	$49.91	$219.71
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $13.86 / $67.70	Professional	26	$8.41	$13.86	$67.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $42.14 / $168.70	Professional	TC	$24.40	$42.14	$168.70
Tufts Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $41.01 / $229.86	Facility		$26.80	$41.01	$229.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $39.00 / $70.33	Professional		$26.80	$39.00	$70.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $44.10 / $80.02	Professional		$30.69	$44.10	$80.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $11.23 / $19.92	Professional	26	$8.41	$11.23	$19.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.64 / $34.92 / $76.54	Professional	TC	$23.64	$34.92	$76.54