Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $74.73 / $305.70	Facility		$36.46	$74.73	$305.70
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.23 / $11.28 / $14.97	Facility	26	$6.23	$11.28	$14.97
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $37.25 / $219.22 / $559.60	Facility	TC	$37.25	$219.22	$559.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $35.13 / $98.29	Professional		$13.69	$35.13	$98.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $10.62 / $48.86	Professional	26	$6.23	$10.62	$48.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $45.96 / $89.29 / $210.54	Professional	50	$45.96	$89.29	$210.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.34 / $15.91 / $19.46	Professional	52	$11.34	$15.91	$19.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.45 / $25.17 / $74.67	Professional	TC	$16.45	$25.17	$74.67
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $105.12 / $359.91	Facility		$39.54	$105.12	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $19.78 / $100.00	Facility	26	$18.82	$19.78	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $69.87 / $142.31	Facility	TC	$55.06	$69.87	$142.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $47.95 / $221.82	Professional		$29.46	$47.95	$221.82
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.57 / $71.00	Professional	26	$7.88	$12.57	$71.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $42.14 / $170.86	Professional	TC	$23.15	$42.14	$170.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $98.31 / $191.07	Facility		$39.06	$98.31	$191.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $7.53 / $10.17	Professional		$5.31	$7.53	$10.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $15.30 / $20.32	Professional	26	$11.65	$15.30	$20.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $56.60 / $73.34	Professional	TC	$42.07	$56.60	$73.34
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 $32.00 / $54.28 / $110.57	Professional		$32.00	$54.28	$110.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.56 / $13.71 / $23.75	Professional	26	$8.56	$13.71	$23.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.66 / $42.63 / $86.82	Professional	TC	$23.66	$42.63	$86.82
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $83.43 / $6,679.00	Facility		$31.75	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $38.38 / $66.20	Professional		$10.28	$38.38	$66.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $84.14 / $111.88	Professional		$41.78	$84.14	$111.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $19.48 / $25.71	Professional	26	$9.83	$19.48	$25.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.92 / $65.84 / $84.92	Professional	TC	$38.92	$65.84	$84.92
Health New England Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $76.14 / $327.82	Facility		$16.93	$76.14	$327.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $24.00 / $91.92	Professional		$12.66	$24.00	$91.92
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $359.91 / $359.91	Facility		$72.23	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.97 / $100.00 / $100.00	Facility	26	$18.97	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $142.31 / $142.31	Facility	TC	$55.06	$142.31	$142.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $49.88 / $221.82	Professional		$32.89	$49.88	$221.82
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $13.07 / $71.00	Professional	26	$8.38	$13.07	$71.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.51 / $42.14 / $170.86	Professional	TC	$24.51	$42.14	$170.86
Tufts Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $48.53 / $224.23	Facility		$27.06	$48.53	$224.23
Tufts Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $38.35 / $68.83	Professional		$27.93	$38.35	$68.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $42.54 / $79.92	Professional		$30.84	$42.54	$79.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $11.17 / $20.22	Professional	26	$8.14	$11.17	$20.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.51 / $34.97 / $80.72	Professional	TC	$24.51	$34.97	$80.72