Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $204.12 / $204.12 / $204.12	Facility	TC	$204.12	$204.12	$204.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $79.34 / $291.00	Professional		$54.16	$79.34	$291.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $35.47 / $172.12	Professional	26	$9.17	$35.47	$172.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $44.98 / $68.56 / $177.96	Professional	TC	$44.98	$68.56	$177.96
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $444.13 / $444.13 / $444.13	Facility		$444.13	$444.13	$444.13
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 $386.32 / $386.32 / $386.32	Facility	TC	$386.32	$386.32	$386.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $121.57 / $514.55	Professional		$54.31	$121.57	$514.55
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $18.95 / $87.52	Professional	26	$8.83	$18.95	$87.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $47.30 / $119.24 / $439.92	Professional	TC	$47.30	$119.24	$439.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $45.91 / $45.91	Facility		$45.91	$45.91	$45.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $168.80 / $223.97	Professional		$102.94	$168.80	$223.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.51 / $22.04 / $29.86	Professional	26	$14.51	$22.04	$29.86
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.50 / $142.57 / $194.73	Professional	TC	$89.50	$142.57	$194.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $66.04 / $146.40	Professional		$36.11	$66.04	$146.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.13 / $10.34 / $21.30	Professional	26	$6.13	$10.34	$21.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.13 / $60.05 / $127.29	Professional	TC	$32.13	$60.05	$127.29
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $97.10 / $155.56	Professional		$14.58	$97.10	$155.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $190.44 / $256.83	Professional		$100.76	$190.44	$256.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $27.10 / $36.54	Professional	26	$14.34	$27.10	$36.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $86.43 / $163.35 / $220.31	Professional	TC	$86.43	$163.35	$220.31
Health New England Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $54.10 / $162.29	Professional		$19.29	$54.10	$162.29
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $444.13 / $444.13 / $444.13	Facility		$444.13	$444.13	$444.13
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 $386.32 / $386.32 / $386.32	Facility	TC	$386.32	$386.32	$386.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $114.44 / $514.55	Professional		$52.45	$114.44	$514.55
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $18.26 / $87.52	Professional	26	$8.83	$18.26	$87.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $46.11 / $96.90 / $439.92	Professional	TC	$46.11	$96.90	$439.92
Tufts Facility/Professional Facility Modifier Low / Median / High Price $65.89 / $65.89 / $65.89	Facility		$65.89	$65.89	$65.89
Tufts Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $103.45 / $184.59	Professional		$64.67	$103.45	$184.59
United Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $88.72 / $187.07	Professional		$43.77	$88.72	$187.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $13.66 / $28.24	Professional	26	$8.19	$13.66	$28.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.29 / $76.84 / $181.36	Professional	TC	$45.29	$76.84	$181.36