Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $186.45 / $620.21	Facility		$47.52	$186.45	$620.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $10.72 / $39.32	Facility	26	$10.72	$10.72	$39.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $35.97 / $107.32	Professional		$24.85	$35.97	$107.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.46 / $77.00	Professional	26	$10.72	$15.46	$77.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $20.28 / $50.89	Professional	TC	$14.13	$20.28	$50.89
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $96.64 / $539.87	Facility		$30.85	$96.64	$539.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.93 / $34.09 / $100.00	Facility	26	$31.93	$34.09	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $57.91 / $287.00	Professional		$31.95	$57.91	$287.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $22.56 / $204.67	Professional	26	$13.57	$22.56	$204.67
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.36 / $41.73 / $230.00	Professional	TC	$20.36	$41.73	$230.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $53.42 / $94.70	Facility		$35.20	$53.42	$94.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $50.38 / $142.41	Professional		$48.06	$50.38	$142.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.23 / $24.80 / $36.33	Professional	26	$17.23	$24.80	$36.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.26 / $54.02 / $66.78	Professional	TC	$35.26	$54.02	$66.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.92 / $73.42 / $78.52	Facility		$69.92	$73.42	$78.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $63.35 / $124.59	Professional		$35.70	$63.35	$124.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.37 / $25.12 / $41.14	Professional	26	$15.37	$25.12	$41.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.73 / $41.70 / $79.64	Professional	TC	$20.73	$41.70	$79.64
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $1,909.00 / $8,776.25	Facility		$30.78	$1,909.00	$8,776.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $38.54 / $68.23	Professional		$17.07	$38.54	$68.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $88.88 / $119.54	Professional		$40.04	$88.88	$119.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $32.33 / $41.75	Professional	26	$16.38	$32.33	$41.75
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.72 / $60.64 / $80.34	Professional	TC	$30.72	$60.64	$80.34
Health New England Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $58.28 / $590.39	Facility		$31.35	$58.28	$590.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $30.23 / $47.25	Professional		$22.03	$30.23	$47.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $539.87 / $539.87	Facility		$81.44	$539.87	$539.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $31.93 / $100.00 / $100.00	Facility	26	$31.93	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $53.10 / $287.00	Professional		$33.52	$53.10	$287.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $21.74 / $204.67	Professional	26	$14.08	$21.74	$204.67
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.59 / $37.25 / $230.00	Professional	TC	$19.59	$37.25	$230.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $30.64 / $45.39	Facility		$27.23	$30.64	$45.39
Tufts Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $42.83 / $45.00	Professional		$33.70	$42.83	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $49.27 / $99.40	Professional		$32.63	$49.27	$99.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.03 / $19.00 / $41.64	Professional	26	$14.03	$19.00	$41.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $31.98 / $70.23	Professional	TC	$17.80	$31.98	$70.23