Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $177.83 / $407.38	Facility		$45.71	$177.83	$407.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $13.80 / $40.74	Facility	26	$7.08	$13.80	$40.74
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.67 / $147.91 / $446.68	Facility	TC	$34.67	$147.91	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $47.86 / $181.97	Professional		$10.47	$47.86	$181.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $19.50 / $53.70	Professional	26	$8.51	$19.50	$53.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $25.70 / $107.15 / $251.19	Professional	50	$25.70	$107.15	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $46.77 / $134.90	Professional	TC	$25.12	$46.77	$134.90
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $131.83 / $363.08	Facility		$39.81	$131.83	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $100.00 / $100.00	Facility	26	$21.38	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $79.43 / $204.17 / $204.17	Facility	TC	$79.43	$204.17	$204.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $263.03	Professional		$32.36	$51.29	$263.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $79.43	Professional	26	$7.76	$12.59	$79.43
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $204.17	Professional	TC	$25.12	$42.66	$204.17
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 $10.47 / $17.78 / $23.44	Professional	26	$10.47	$17.78	$23.44
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $66.07 / $91.20	Professional	TC	$39.81	$66.07	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $169.82 / $275.42	Facility		$51.29	$169.82	$275.42
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	TC	$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $112.20	Professional		$32.36	$58.88	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.13 / $26.92	Professional	26	$7.94	$14.13	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $47.86 / $93.33	Professional	TC	$25.12	$47.86	$93.33
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $79.43 / $7,079.46	Facility		$35.48	$79.43	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $50.12 / $87.10	Professional		$12.30	$50.12	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $128.82	Professional		$43.65	$69.18	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $14.13 / $25.70	Professional	26	$9.55	$14.13	$25.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $50.12 / $93.33	Professional	TC	$33.88	$50.12	$93.33
Health New England Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $147.91 / $371.54	Facility		$28.18	$147.91	$371.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.18 / $72.44	Professional		$12.88	$28.18	$72.44
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $131.83 / $363.08	Facility		$39.81	$131.83	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $100.00 / $100.00	Facility	26	$21.38	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $79.43 / $204.17 / $204.17	Facility	TC	$79.43	$204.17	$204.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $263.03	Professional		$32.36	$51.29	$263.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.59 / $79.43	Professional	26	$7.94	$12.59	$79.43
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $42.66 / $204.17	Professional	TC	$25.12	$42.66	$204.17
Tufts Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $45.71 / $389.05	Facility		$29.51	$45.71	$389.05
Tufts Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $79.43	Professional		$32.36	$44.67	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $117.49 / $251.19	Facility		$14.45	$117.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $120.23	Professional		$35.48	$52.48	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.59 / $25.70	Professional	26	$8.71	$12.59	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $41.69 / $91.20	Professional	TC	$27.54	$41.69	$91.20