Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $58.18 / $258.45	Facility		$30.40	$58.18	$258.45
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.52 / $10.80 / $14.34	Facility	26	$6.52	$10.80	$14.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $34.38 / $83.10 / $390.57	Facility	TC	$34.38	$83.10	$390.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $27.89 / $85.54	Professional		$13.96	$27.89	$85.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.12 / $45.00	Professional	26	$6.84	$11.12	$45.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.70 / $53.84 / $201.58	Professional	50	$33.70	$53.84	$201.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.81 / $21.87 / $70.34	Professional	TC	$14.81	$21.87	$70.34
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $95.78 / $972.00	Facility		$36.45	$95.78	$972.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $18.95 / $100.00	Facility	26	$18.04	$18.95	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $50.81 / $63.68 / $131.29	Facility	TC	$50.81	$63.68	$131.29
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $44.87 / $202.34	Professional		$28.26	$44.87	$202.34
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $12.06 / $75.00	Professional	26	$7.80	$12.06	$75.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $38.88 / $163.00	Professional	TC	$21.18	$38.88	$163.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $98.31 / $191.07	Facility		$43.46	$98.31	$191.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $14.68 / $19.50	Professional	26	$10.18	$14.68	$19.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $38.82 / $51.49 / $77.86	Professional	TC	$38.82	$51.49	$77.86
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 $30.89 / $49.48 / $100.78	Professional		$30.89	$49.48	$100.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $13.07 / $23.38	Professional	26	$8.21	$13.07	$23.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $38.29 / $79.04	Professional	TC	$23.23	$38.29	$79.04
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $83.43 / $6,679.00	Facility		$29.30	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $35.58 / $61.63	Professional		$9.85	$35.58	$61.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.59 / $103.42	Professional		$38.90	$77.59	$103.42
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $18.67 / $24.63	Professional	26	$9.42	$18.67	$24.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.49 / $59.39 / $77.12	Professional	TC	$29.49	$59.39	$77.12
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $56.82 / $299.79	Facility		$16.23	$56.82	$299.79
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $23.00 / $63.75	Professional		$11.80	$23.00	$63.75
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $972.00 / $972.00	Facility		$67.23	$972.00	$972.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $50.81 / $131.29 / $131.29	Facility	TC	$50.81	$131.29	$131.29
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $45.98 / $202.34	Professional		$30.43	$45.98	$202.34
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $13.08 / $75.00	Professional	26	$8.03	$13.08	$75.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $38.88 / $163.00	Professional	TC	$22.70	$38.88	$163.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $37.34 / $168.76	Facility		$23.14	$37.34	$168.76
Tufts Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.79 / $65.37	Professional		$24.62	$33.79	$65.37
United Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $41.32 / $73.66	Professional		$29.06	$41.32	$73.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $10.27 / $19.71	Professional	26	$7.88	$10.27	$19.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.54 / $31.84 / $73.45	Professional	TC	$21.54	$31.84	$73.45