Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.70 / $75.68 / $339.20	Facility		$41.70	$75.68	$339.20
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.21 / $12.69 / $26.21	Facility	26	$7.21	$12.69	$26.21
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $45.35 / $219.22 / $498.13	Facility	TC	$45.35	$219.22	$498.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $38.27 / $115.18	Professional		$12.56	$38.27	$115.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.43 / $12.01 / $49.64	Professional	26	$7.43	$12.01	$49.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.42 / $153.08 / $222.36	Professional	50	$51.42	$153.08	$222.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.44 / $18.48 / $22.99	Professional	52	$13.44	$18.48	$22.99
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $29.62 / $82.04	Professional	TC	$19.66	$29.62	$82.04
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $127.80 / $359.91	Facility		$47.30	$127.80	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $22.36 / $100.00	Facility	26	$21.10	$22.36	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $67.18 / $84.08 / $173.52	Facility	TC	$67.18	$84.08	$173.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $57.46 / $263.06	Professional		$33.35	$57.46	$263.06
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $13.64 / $79.26	Professional	26	$8.18	$13.64	$79.26
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $50.36 / $205.55	Professional	TC	$27.26	$50.36	$205.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $91.00 / $178.10	Facility		$71.23	$91.00	$178.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $17.32 / $23.04	Professional	26	$12.35	$17.32	$23.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.23 / $67.98 / $89.39	Professional	TC	$51.23	$67.98	$89.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $190.49 / $277.89	Facility		$73.48	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.97 / $25.97 / $25.97	Facility	TC	$25.97	$25.97	$25.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $64.50 / $131.38	Professional		$35.74	$64.50	$131.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $15.45 / $26.91	Professional	26	$9.58	$15.45	$26.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.18 / $51.29 / $104.48	Professional	TC	$27.18	$51.29	$104.48
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $83.43 / $6,679.00	Facility		$38.70	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $46.77 / $79.47	Professional		$11.60	$46.77	$79.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $100.64 / $132.82	Professional		$49.97	$100.64	$132.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $21.93 / $28.92	Professional	26	$11.06	$21.93	$28.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $77.59 / $101.75	Professional	TC	$38.90	$77.59	$101.75
Health New England Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $100.75 / $368.17	Facility		$19.11	$100.75	$368.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $28.06 / $119.11	Professional		$14.15	$28.06	$119.11
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $359.91 / $359.91	Facility		$86.50	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $100.00 / $100.00	Facility	26	$21.10	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $67.18 / $173.52 / $173.52	Facility	TC	$67.18	$173.52	$173.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $59.63 / $263.06	Professional		$36.69	$59.63	$263.06
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.40 / $15.50 / $79.26	Professional	26	$9.40	$15.50	$79.26
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $51.37 / $205.55	Professional	TC	$28.51	$51.37	$205.55
Tufts Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $97.48 / $229.86	Facility		$32.13	$97.48	$229.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $45.00 / $83.41	Professional		$32.27	$45.00	$83.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $49.32 / $95.76	Professional		$36.00	$49.32	$95.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $12.65 / $24.48	Professional	26	$8.81	$12.65	$24.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $42.56 / $94.59	Professional	TC	$28.00	$42.56	$94.59