Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $23.44 / $239.88	Facility		$5.37	$23.44	$239.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $15.14 / $31.62	Facility	26	$7.08	$15.14	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.38 / $50.12	Professional		$10.00	$17.38	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $34.67	Professional	26	$7.08	$10.00	$34.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $29.51	Professional	50	$11.48	$11.48	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $4.17 / $10.96	Professional	TC	$3.02	$4.17	$10.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $43.65 / $79.43	Facility		$4.47	$43.65	$79.43
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $19.05 / $100.00	Facility	26	$8.71	$19.05	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.85 / $1,412.54	Professional		$10.23	$15.85	$1,412.54
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $1,288.25	Professional	26	$6.92	$10.96	$1,288.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $5.25 / $977.24	Professional	TC	$2.88	$5.25	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.55 / $35.48	Facility		$19.50	$24.55	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $57.54 / $141.25	Facility		$15.85	$57.54	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $34.67	Professional		$11.48	$18.62	$34.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $22.39	Professional	26	$7.24	$12.30	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $5.89 / $12.02	Professional	TC	$2.88	$5.89	$12.02
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $56.23 / $7,079.46	Facility		$5.37	$56.23	$7,079.46
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.22 / $23.44	Professional		$5.50	$11.22	$23.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.13 / $31.62	Professional		$8.32	$14.13	$31.62
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $21.88	Professional	26	$9.12	$14.13	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $4.07 / $5.25 / $9.77	Professional	TC	$4.07	$5.25	$9.77
Health New England Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $48.98	Facility		$47.86	$47.86	$48.98
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $43.65 / $79.43	Facility		$4.47	$43.65	$79.43
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $19.05 / $100.00	Facility	26	$8.71	$19.05	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $1,412.54	Professional		$10.00	$15.85	$1,412.54
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.96 / $1,288.25	Professional	26	$6.92	$10.96	$1,288.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $5.13 / $977.24	Professional	TC	$2.88	$5.13	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $38.90 / $83.18	Facility		$3.89	$38.90	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.60 / $33.88	Professional		$10.96	$16.60	$33.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $21.38	Professional	26	$7.76	$10.96	$21.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.75 / $5.37 / $11.22	Professional	TC	$2.75	$5.37	$11.22