Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $57.30 / $218.70	Facility		$35.17	$57.30	$218.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.26 / $10.80 / $14.34	Facility	26	$6.26	$10.80	$14.34
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.97 / $64.01 / $270.66	Facility	TC	$24.97	$64.01	$270.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $29.97 / $80.33	Professional		$21.26	$29.97	$80.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.26 / $8.52 / $30.70	Professional	26	$6.26	$8.52	$30.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.98 / $48.70 / $129.94	Professional	50	$42.98	$48.70	$129.94
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.63 / $14.99 / $43.70	Professional	52	$10.63	$14.99	$43.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $21.10 / $49.77	Professional	TC	$15.00	$21.10	$49.77
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $98.42 / $359.91	Facility		$37.24	$98.42	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $19.84 / $100.00	Facility	26	$18.09	$19.84	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $65.43 / $133.13	Facility	TC	$51.52	$65.43	$133.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $45.97 / $206.66	Professional		$27.16	$45.97	$206.66
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $12.13 / $67.70	Professional	26	$7.17	$12.13	$67.70
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.50 / $39.42 / $157.81	Professional	TC	$21.50	$39.42	$157.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $98.31 / $191.07	Facility		$34.36	$98.31	$191.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $48.81 / $48.81	Professional		$48.81	$48.81	$48.81
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $14.68 / $19.50	Professional	26	$11.19	$14.68	$19.50
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $5.72 / $12.41 / $41.20	Professional	52	$5.72	$12.41	$41.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.89 / $44.45 / $87.33	Professional	TC	$30.89	$44.45	$87.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.90 / $190.49 / $277.89	Facility		$64.90	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $21.92 / $21.92 / $21.92	Facility	TC	$21.92	$21.92	$21.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $50.56 / $102.99	Professional		$30.24	$50.56	$102.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $13.02 / $23.40	Professional	26	$8.21	$13.02	$23.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $39.38 / $81.23	Professional	TC	$22.86	$39.38	$81.23
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $80.70 / $6,679.00	Facility		$29.71	$80.70	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $35.97 / $62.30	Professional		$9.85	$35.97	$62.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $80.65 / $110.62	Professional		$39.32	$80.65	$110.62
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 $29.90 / $60.22 / $78.19	Professional	TC	$29.90	$60.22	$78.19
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $50.22 / $202.05	Facility		$16.98	$50.22	$202.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $15.36 / $186.15	Professional		$11.20	$15.36	$186.15
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $359.91 / $359.91	Facility		$67.92	$359.91	$359.91
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 $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $46.97 / $206.66	Professional		$30.46	$46.97	$206.66
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $12.95 / $67.70	Professional	26	$7.86	$12.95	$67.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.02 / $39.42 / $157.81	Professional	TC	$23.02	$39.42	$157.81
United Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $41.76 / $79.03	Professional		$28.85	$41.76	$79.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $10.76 / $19.05	Professional	26	$7.63	$10.76	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $33.46 / $75.89	Professional	TC	$22.13	$33.46	$75.89