Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $57.30 / $66.94	Facility		$29.46	$57.30	$66.94
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.68 / $10.33 / $13.70	Facility	26	$5.68	$10.33	$13.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $14.42 / $53.30 / $192.78	Facility	TC	$14.42	$53.30	$192.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $28.73 / $92.56	Professional		$20.10	$28.73	$92.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.68 / $8.80 / $42.98	Professional	26	$5.68	$8.80	$42.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $24.30 / $50.34 / $190.76	Professional	50	$24.30	$50.34	$190.76
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.05 / $13.86 / $36.10	Professional	52	$10.05	$13.86	$36.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.42 / $20.28 / $50.00	Professional	TC	$14.42	$20.28	$50.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $85.09 / $359.91	Facility		$32.96	$85.09	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $17.22 / $18.09 / $100.00	Facility	26	$17.22	$18.09	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $44.39 / $55.69 / $114.81	Facility	TC	$44.39	$55.69	$114.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $41.73 / $180.63	Professional		$25.47	$41.73	$180.63
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $11.48 / $67.70	Professional	26	$7.17	$11.48	$67.70
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $34.01 / $154.00	Professional	TC	$19.57	$34.01	$154.00
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 26 Low / Median / High Price $10.64 / $13.97 / $18.19	Professional	26	$10.64	$13.97	$18.19
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $5.64 / $10.68 / $31.41	Professional	52	$5.64	$10.68	$31.41
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 $28.27 / $44.06 / $89.75	Professional		$28.27	$44.06	$89.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.52 / $21.68	Professional	26	$7.88	$12.52	$21.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.90 / $35.47 / $69.12	Professional	TC	$20.90	$35.47	$69.12
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $80.70 / $6,679.00	Facility		$25.63	$80.70	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $31.23 / $54.96	Professional		$9.41	$31.23	$54.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $70.13 / $93.40	Professional		$34.82	$70.13	$93.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.01 / $17.86 / $23.56	Professional	26	$9.01	$17.86	$23.56
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.80 / $51.46 / $67.47	Professional	TC	$25.80	$51.46	$67.47
Health New England Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $52.06 / $290.20	Facility		$15.49	$52.06	$290.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $15.36 / $60.35	Professional		$11.29	$15.36	$60.35
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $60.10 / $359.91 / $359.91	Facility		$60.10	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $17.46 / $100.00 / $100.00	Facility	26	$17.46	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $44.39 / $114.81 / $114.81	Facility	TC	$44.39	$114.81	$114.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $42.88 / $180.63	Professional		$27.85	$42.88	$180.63
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $12.00 / $67.70	Professional	26	$7.68	$12.00	$67.70
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $34.01 / $154.00	Professional	TC	$20.17	$34.01	$154.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $29.80 / $144.30	Facility		$22.26	$29.80	$144.30
United Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $38.99 / $70.00	Professional		$27.52	$38.99	$70.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $10.19 / $18.05	Professional	26	$7.45	$10.19	$18.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $27.58 / $50.80	Professional	TC	$19.98	$27.58	$50.80