Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $73.23 / $288.38	Facility		$26.91	$73.23	$288.38
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.03 / $12.22 / $15.01	Facility	26	$7.03	$12.22	$15.01
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $30.57 / $61.75 / $292.50	Facility	TC	$30.57	$61.75	$292.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $28.39 / $95.90	Professional		$22.16	$28.39	$95.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $9.51 / $38.18	Professional	26	$7.03	$9.51	$38.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.12 / $19.16 / $54.39	Professional	TC	$15.12	$19.16	$54.39
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $84.16 / $359.91	Facility		$27.09	$84.16	$359.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $21.47 / $70.00	Facility	26	$20.44	$21.47	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $56.55 / $116.61	Facility	TC	$45.10	$56.55	$116.61
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $42.02 / $193.62	Professional		$27.62	$42.02	$193.62
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $12.25 / $55.28	Professional	26	$8.35	$12.25	$55.28
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $29.96 / $138.27	Professional	TC	$19.44	$29.96	$138.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $100.88 / $205.53	Facility		$72.06	$100.88	$205.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $8.18 / $12.70	Professional		$4.97	$8.18	$12.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $16.35 / $22.08	Professional	26	$9.94	$16.35	$22.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.59 / $28.93 / $47.59	Professional	TC	$19.59	$28.93	$47.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $161.76 / $240.60	Facility		$61.49	$161.76	$240.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $47.17 / $96.09	Professional		$30.38	$47.17	$96.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $14.32 / $25.81	Professional	26	$9.25	$14.32	$25.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $33.25 / $70.28	Professional	TC	$21.06	$33.25	$70.28
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $64.80 / $6,679.00	Facility		$26.04	$64.80	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $31.73 / $56.52	Professional		$11.15	$31.73	$56.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $73.06 / $97.97	Professional		$36.86	$73.06	$97.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $21.11 / $27.85	Professional	26	$10.65	$21.11	$27.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.21 / $51.96 / $68.54	Professional	TC	$26.21	$51.96	$68.54
Health New England Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $85.42 / $326.36	Facility		$24.91	$85.42	$326.36
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $21.13 / $70.55	Professional		$12.66	$21.13	$70.55
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $63.73 / $359.91 / $359.91	Facility		$63.73	$359.91	$359.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $70.00 / $70.00	Facility	26	$20.47	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $45.10 / $116.61 / $116.61	Facility	TC	$45.10	$116.61	$116.61
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $42.02 / $193.62	Professional		$29.27	$42.02	$193.62
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.49 / $55.28	Professional	26	$8.91	$12.49	$55.28
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $28.79 / $138.27	Professional	TC	$20.17	$28.79	$138.27
Tufts Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $86.76 / $229.86	Facility		$20.77	$86.76	$229.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $29.49 / $61.20	Professional		$21.76	$29.49	$61.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $39.22 / $70.26	Professional		$28.72	$39.22	$70.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.13 / $23.59	Professional	26	$8.91	$12.13	$23.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $28.43 / $51.60	Professional	TC	$20.14	$28.43	$51.60