Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $158.49 / $380.19	Facility		$33.88	$158.49	$380.19
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $11.48 / $30.90	Facility	26	$6.03	$11.48	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $169.82 / $446.68	Facility	TC	$32.36	$169.82	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $36.31 / $131.83	Professional		$10.96	$36.31	$131.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.98 / $45.71	Professional	26	$7.08	$16.98	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $112.20 / $257.04	Professional	50	$33.88	$112.20	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $32.36 / $97.72	Professional	TC	$17.38	$32.36	$97.72
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $97.72 / $977.24	Facility		$30.20	$97.72	$977.24
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $100.00 / $100.00	Facility	26	$18.20	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $60.26 / $154.88 / $154.88	Facility	TC	$60.26	$154.88	$154.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $204.17	Professional		$25.12	$41.69	$204.17
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.72 / $75.86	Professional	26	$6.92	$10.72	$75.86
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $32.36 / $162.18	Professional	TC	$19.95	$32.36	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $141.25	Facility		$70.79	$109.65	$141.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $15.14 / $19.95	Professional	26	$8.71	$15.14	$19.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $50.12 / $69.18	Professional	TC	$30.20	$50.12	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $169.82 / $275.42	Facility		$41.69	$169.82	$275.42
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $46.77 / $89.13	Professional		$24.55	$46.77	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.02 / $22.91	Professional	26	$7.24	$12.02	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $36.31 / $70.79	Professional	TC	$19.50	$36.31	$70.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $56.23 / $7,079.46	Facility		$26.92	$56.23	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $36.31 / $64.57	Professional		$10.23	$36.31	$64.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $97.72	Professional		$32.36	$47.86	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $19.95	Professional	26	$7.94	$11.75	$19.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $37.15 / $67.61	Professional	TC	$24.55	$37.15	$67.61
Health New England Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $97.72 / $302.00	Facility		$23.44	$97.72	$302.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $67.61	Professional		$11.22	$15.85	$67.61
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $97.72 / $977.24	Facility		$30.20	$97.72	$977.24
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $100.00 / $100.00	Facility	26	$18.20	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $60.26 / $154.88 / $154.88	Facility	TC	$60.26	$154.88	$154.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $204.17	Professional		$26.30	$41.69	$204.17
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.72 / $75.86	Professional	26	$7.08	$10.72	$75.86
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $32.36 / $162.18	Professional	TC	$19.95	$32.36	$162.18
Tufts Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $38.90 / $389.05	Facility		$22.91	$38.90	$389.05
Tufts Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $56.23	Professional		$22.91	$30.20	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $117.49 / $251.19	Facility		$13.49	$117.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $89.13	Professional		$28.84	$41.69	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.72 / $21.38	Professional	26	$7.94	$10.72	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $66.07	Professional	TC	$21.38	$30.90	$66.07