Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $87.10 / $302.00	Facility		$33.88	$87.10	$302.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $12.02 / $30.90	Facility	26	$6.03	$12.02	$30.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.14 / $64.57 / $281.84	Facility	TC	$15.14	$64.57	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $37.15 / $147.91	Professional		$16.60	$37.15	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.60 / $44.67	Professional	26	$7.08	$16.60	$44.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $162.18 / $309.03	Professional	50	$46.77	$162.18	$309.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.22 / $28.18 / $58.88	Professional	52	$16.22	$28.18	$58.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $26.92 / $67.61	Professional	TC	$16.98	$26.92	$67.61
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $102.33 / $363.08	Facility		$30.90	$102.33	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $100.00 / $100.00	Facility	26	$19.05	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $61.66 / $158.49 / $158.49	Facility	TC	$61.66	$158.49	$158.49
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $208.93	Professional		$25.70	$41.69	$208.93
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $67.61	Professional	26	$6.92	$10.96	$67.61
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.11 / $158.49	Professional	TC	$19.95	$33.11	$158.49
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 52 Low / Median / High Price $4.37 / $10.00 / $42.66	Professional	52	$4.37	$10.00	$42.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $30.90 / $45.71	Professional	TC	$30.90	$30.90	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $169.82 / $275.42	Facility		$63.10	$169.82	$275.42
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	TC	$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $91.20	Professional		$25.12	$45.71	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.02 / $22.91	Professional	26	$6.92	$12.02	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $37.15 / $70.79	Professional	TC	$19.95	$37.15	$70.79
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $57.54 / $7,079.46	Facility		$26.30	$57.54	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $38.02 / $66.07	Professional		$10.72	$38.02	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $102.33	Professional		$33.11	$51.29	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.02 / $21.38	Professional	26	$8.32	$12.02	$21.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $69.18	Professional	TC	$25.12	$37.15	$69.18
Health New England Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $53.70 / $194.98	Facility		$23.44	$53.70	$194.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $151.36	Professional		$10.96	$15.49	$151.36
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $102.33 / $363.08	Facility		$30.90	$102.33	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $100.00 / $100.00	Facility	26	$19.05	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $61.66 / $158.49 / $158.49	Facility	TC	$61.66	$158.49	$158.49
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $208.93	Professional		$25.70	$41.69	$208.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.96 / $67.61	Professional	26	$7.08	$10.96	$67.61
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.11 / $158.49	Professional	TC	$19.95	$33.11	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $117.49 / $251.19	Facility		$12.30	$117.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $91.20	Professional		$28.84	$42.66	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.22 / $21.88	Professional	26	$7.59	$11.22	$21.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $67.61	Professional	TC	$21.38	$32.36	$67.61