Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $125.89 / $389.05	Facility		$50.12	$125.89	$389.05
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $11.22 / $26.30	Facility	26	$6.03	$11.22	$26.30
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $218.78 / $676.08	Facility	TC	$35.48	$218.78	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $44.67 / $141.25	Professional		$10.47	$44.67	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $17.38 / $48.98	Professional	26	$7.41	$17.38	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $91.20 / $229.09	Professional	50	$34.67	$91.20	$229.09
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.51 / $44.67 / $95.50	Professional	52	$29.51	$44.67	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $42.66 / $107.15	Professional	TC	$20.89	$42.66	$107.15
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $107.15 / $363.08	Facility		$33.11	$107.15	$363.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $100.00 / $100.00	Facility	26	$18.62	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $66.07 / $169.82 / $169.82	Facility	TC	$66.07	$169.82	$169.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $223.87	Professional		$26.92	$44.67	$223.87
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $70.79	Professional	26	$7.24	$11.22	$70.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $169.82	Professional	TC	$20.89	$34.67	$169.82
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 $9.12 / $15.49 / $20.89	Professional	26	$9.12	$15.49	$20.89
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $4.57 / $7.76 / $10.47	Professional	52	$4.57	$7.76	$10.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $53.70 / $75.86	Professional	TC	$33.11	$53.70	$75.86
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 $23.44 / $23.44 / $23.44	Facility	TC	$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $95.50	Professional		$27.54	$50.12	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $23.99	Professional	26	$7.24	$12.30	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $38.90 / $75.86	Professional	TC	$21.38	$38.90	$75.86
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $61.66 / $7,079.46	Facility		$28.18	$61.66	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $40.74 / $72.44	Professional		$10.72	$40.74	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $107.15	Professional		$34.67	$57.54	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.30 / $22.39	Professional	26	$8.32	$12.30	$22.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $43.65 / $77.62	Professional	TC	$31.62	$43.65	$77.62
Health New England Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $107.15 / $354.81	Facility		$24.55	$107.15	$354.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $66.07	Professional		$12.59	$16.22	$66.07
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $107.15 / $363.08	Facility		$33.11	$107.15	$363.08
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $100.00 / $100.00	Facility	26	$18.62	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $66.07 / $169.82 / $169.82	Facility	TC	$66.07	$169.82	$169.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $223.87	Professional		$26.92	$44.67	$223.87
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $70.79	Professional	26	$7.41	$11.22	$70.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $34.67 / $169.82	Professional	TC	$21.38	$34.67	$169.82
Tufts Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $72.44 / $398.11	Facility		$25.12	$72.44	$398.11
Tufts Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $60.26	Professional		$26.92	$34.67	$60.26
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 $30.20 / $44.67 / $95.50	Professional		$30.20	$44.67	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.22 / $22.39	Professional	26	$8.13	$11.22	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $34.67 / $72.44	Professional	TC	$23.44	$34.67	$72.44