Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $51.25 / $294.26	Facility		$36.18	$51.25	$294.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.66 / $11.75 / $15.61	Facility	26	$6.66	$11.75	$15.61
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $40.10 / $191.23 / $517.65	Facility	TC	$40.10	$191.23	$517.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $32.92 / $92.94	Professional		$10.75	$32.92	$92.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $11.05 / $47.30	Professional	26	$6.67	$11.05	$47.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.65 / $135.28 / $212.32	Professional	50	$36.65	$135.28	$212.32
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.29 / $16.32 / $20.94	Professional	52	$12.29	$16.32	$20.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.91 / $25.82 / $73.76	Professional	TC	$17.91	$25.82	$73.76
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $113.13 / $359.91	Facility		$42.26	$113.13	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $20.67 / $100.00	Facility	26	$19.60	$20.67	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $59.34 / $76.09 / $153.33	Facility	TC	$59.34	$76.09	$153.33
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $51.29 / $237.03	Professional		$30.37	$51.29	$237.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.93 / $71.00	Professional	26	$7.88	$12.93	$71.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.85 / $44.89 / $183.85	Professional	TC	$24.85	$44.89	$183.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $89.81 / $178.10	Facility		$71.23	$89.81	$178.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.88 / $10.64	Professional		$4.79	$7.88	$10.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.18 / $16.00 / $20.82	Professional	26	$12.18	$16.00	$20.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.32 / $60.10 / $79.02	Professional	TC	$45.32	$60.10	$79.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $190.49 / $277.89	Facility		$69.22	$190.49	$277.89
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $23.66 / $23.66 / $23.66	Facility	TC	$23.66	$23.66	$23.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $58.07 / $118.29	Professional		$32.78	$58.07	$118.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $13.83 / $24.85	Professional	26	$8.89	$13.83	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.06 / $45.88 / $94.47	Professional	TC	$24.06	$45.88	$94.47
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $83.43 / $6,679.00	Facility		$34.20	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $41.35 / $70.89	Professional		$10.73	$41.35	$70.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.65 / $89.93 / $118.68	Professional		$44.65	$89.93	$118.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $20.30 / $26.78	Professional	26	$10.24	$20.30	$26.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.40 / $69.30 / $89.99	Professional	TC	$34.40	$69.30	$89.99
Health New England Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $65.69 / $299.01	Facility		$17.67	$65.69	$299.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $23.96 / $98.69	Professional		$12.83	$23.96	$98.69
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $359.91 / $359.91	Facility		$77.20	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $59.34 / $153.33 / $153.33	Facility	TC	$59.34	$153.33	$153.33
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $52.71 / $237.03	Professional		$33.93	$52.71	$237.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.48 / $71.00	Professional	26	$8.63	$13.48	$71.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.44 / $45.40 / $183.85	Professional	TC	$25.44	$45.40	$183.85
Tufts Facility/Professional Facility Modifier Low / Median / High Price $28.53 / $48.71 / $229.88	Facility		$28.53	$48.71	$229.88
Tufts Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $39.39 / $73.77	Professional		$28.53	$39.39	$73.77
United Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $23.60 / $23.60	Facility		$23.60	$23.60	$23.60
United Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $49.24 / $121.88	Professional		$33.60	$49.24	$121.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $11.69 / $20.68	Professional	26	$7.88	$11.69	$20.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.86 / $35.97 / $67.54	Professional	TC	$24.86	$35.97	$67.54