Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.77 / $91.77 / $92.64	Facility		$91.77	$91.77	$92.64
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $91.77 / $91.77 / $91.77	Facility	TC	$91.77	$91.77	$91.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $63.39 / $320.00	Professional		$36.18	$63.39	$320.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.67 / $22.00 / $97.15	Professional	26	$8.67	$22.00	$97.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.51 / $47.17 / $123.00	Professional	TC	$27.51	$47.17	$123.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $228.14 / $228.14 / $228.14	Facility		$228.14	$228.14	$228.14
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $173.52 / $173.52 / $173.52	Facility	TC	$173.52	$173.52	$173.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $75.88 / $370.81	Professional		$35.58	$75.88	$370.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $17.87 / $191.54	Professional	26	$8.27	$17.87	$191.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $65.68 / $275.49	Professional	TC	$29.95	$65.68	$275.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $72.88 / $72.88	Facility		$72.88	$72.88	$72.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $86.82 / $115.18	Professional		$52.94	$86.82	$115.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.05 / $20.89 / $32.45	Professional	26	$14.05	$20.89	$32.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.24 / $63.58 / $87.55	Professional	TC	$40.24	$63.58	$87.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $36.17 / $85.43	Professional		$22.00	$36.17	$85.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.79 / $9.77 / $22.42	Professional	26	$5.79	$9.77	$22.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.34 / $30.49 / $65.30	Professional	TC	$18.34	$30.49	$65.30
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $45.53 / $78.65	Professional		$13.78	$45.53	$78.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $97.00 / $133.07	Professional		$47.40	$97.00	$133.07
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $25.46 / $34.03	Professional	26	$13.52	$25.46	$34.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $73.81 / $101.75	Professional	TC	$38.90	$73.81	$101.75
Health New England Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $48.26 / $72.00	Facility		$48.26	$48.26	$72.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $30.31 / $213.76	Professional		$17.29	$30.31	$213.76
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $228.14 / $228.14 / $228.14	Facility		$228.14	$228.14	$228.14
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $173.52 / $173.52 / $173.52	Facility	TC	$173.52	$173.52	$173.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $75.88 / $370.81	Professional		$35.58	$75.88	$370.81
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $17.23 / $191.54	Professional	26	$8.07	$17.23	$191.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $65.68 / $275.49	Professional	TC	$29.95	$65.68	$275.49
Tufts Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $61.59 / $153.78	Facility		$33.36	$61.59	$153.78
Tufts Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $60.32 / $87.20	Professional		$45.02	$60.32	$87.20
United Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $71.90 / $75.50	Facility		$71.90	$71.90	$75.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $48.50 / $111.13	Professional		$29.10	$48.50	$111.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $12.31 / $27.57	Professional	26	$7.75	$12.31	$27.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $38.33 / $84.69	Professional	TC	$21.35	$38.33	$84.69