Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $104.71 / $446.68	Facility		$39.81	$104.71	$446.68
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $11.48 / $26.30	Facility	26	$6.03	$11.48	$26.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.20 / $208.93 / $512.86	Facility	TC	$30.20	$208.93	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $40.74 / $141.25	Professional		$9.77	$40.74	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $18.20 / $46.77	Professional	26	$7.94	$18.20	$46.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $95.50 / $223.87	Professional	50	$37.15	$95.50	$223.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.79 / $29.51 / $29.51	Professional	52	$14.79	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $43.65 / $114.82	Professional	TC	$21.88	$43.65	$114.82
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $117.49 / $363.08	Facility		$35.48	$117.49	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $72.44 / $181.97 / $181.97	Facility	TC	$72.44	$181.97	$181.97
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $234.42	Professional		$29.51	$45.71	$234.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $70.79	Professional	26	$7.41	$11.75	$70.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $181.97	Professional	TC	$22.91	$37.15	$181.97
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 $9.55 / $16.22 / $21.88	Professional	26	$9.55	$16.22	$21.88
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $4.79 / $8.13 / $10.96	Professional	52	$4.79	$8.13	$10.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $58.88 / $81.28	Professional	TC	$35.48	$58.88	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $169.82 / $275.42	Facility		$44.67	$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 $28.84 / $51.29 / $102.33	Professional		$28.84	$51.29	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.88 / $24.55	Professional	26	$7.59	$12.88	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $42.66 / $81.28	Professional	TC	$22.39	$42.66	$81.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $69.18 / $7,079.46	Facility		$30.90	$69.18	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $44.67 / $77.62	Professional		$11.22	$44.67	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $123.03	Professional		$43.65	$77.62	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.18 / $22.91	Professional	26	$8.51	$13.18	$22.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $44.67 / $81.28	Professional	TC	$29.51	$44.67	$81.28
Health New England Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $104.71 / $354.81	Facility		$25.12	$104.71	$354.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $67.61	Professional		$12.02	$15.85	$67.61
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $117.49 / $363.08	Facility		$35.48	$117.49	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $72.44 / $181.97 / $181.97	Facility	TC	$72.44	$181.97	$181.97
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $234.42	Professional		$29.51	$45.71	$234.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $70.79	Professional	26	$7.41	$11.75	$70.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $181.97	Professional	TC	$22.91	$37.15	$181.97
Tufts Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $77.62 / $398.11	Facility		$25.70	$77.62	$398.11
Tufts Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $63.10	Professional		$26.92	$34.67	$63.10
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 $31.62 / $46.77 / $104.71	Professional		$31.62	$46.77	$104.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.75 / $22.91	Professional	26	$8.32	$11.75	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $77.62	Professional	TC	$24.55	$36.31	$77.62