Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $104.88 / $268.81	Facility		$11.30	$104.88	$268.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.38 / $7.39 / $27.44	Facility	26	$7.38	$7.39	$27.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $15.78 / $35.88	Professional		$10.83	$15.78	$35.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.27 / $17.91	Professional	26	$7.39	$9.27	$17.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.38 / $4.44 / $8.36	Professional	TC	$3.38	$4.44	$8.36
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $42.28 / $80.00	Facility		$12.48	$42.28	$80.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $19.12 / $100.00	Facility	26	$17.60	$19.12	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $17.39 / $1,428.44	Professional		$10.81	$17.39	$1,428.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $12.36 / $1,274.28	Professional	26	$7.83	$12.36	$1,274.28
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $5.99 / $988.10	Professional	TC	$3.02	$5.99	$988.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $27.09 / $52.65	Facility		$5.39	$27.09	$52.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $4.80 / $4.80 / $5.66	Professional	TC	$4.80	$4.80	$5.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $68.23 / $141.69	Facility		$16.14	$68.23	$141.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $21.53 / $35.85	Professional		$12.89	$21.53	$35.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $14.19 / $23.69	Professional	26	$8.38	$14.19	$23.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.13 / $7.49 / $12.69	Professional	TC	$3.13	$7.49	$12.69
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $83.43 / $6,679.00	Facility		$4.43	$83.43	$6,679.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $11.00 / $20.34	Professional		$4.90	$11.00	$20.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $25.63 / $36.43	Professional		$8.99	$25.63	$36.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $18.67 / $24.63	Professional	26	$9.42	$18.67	$24.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $4.51 / $8.46 / $11.79	Professional	TC	$4.51	$8.46	$11.79
Health New England Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $47.36 / $49.16	Facility		$47.36	$47.36	$49.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $24.19 / $36.77	Professional		$22.24	$24.19	$36.77
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $80.00 / $80.00	Facility		$24.25	$80.00	$80.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $17.60 / $100.00 / $100.00	Facility	26	$17.60	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $17.38 / $1,428.44	Professional		$11.43	$17.38	$1,428.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $12.36 / $1,274.28	Professional	26	$8.30	$12.36	$1,274.28
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $2.77 / $5.89 / $988.10	Professional	TC	$2.77	$5.89	$988.10
Tufts Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $11.68 / $17.05	Facility		$9.52	$11.68	$17.05
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $34.61 / $92.57	Facility		$32.96	$34.61	$92.57
United Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $15.92 / $35.35	Professional		$11.05	$15.92	$35.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.85 / $23.22	Professional	26	$8.13	$10.85	$23.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.35 / $5.33 / $9.91	Professional	TC	$2.35	$5.33	$9.91