Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $56.23 / $232.21	Facility		$21.12	$56.23	$232.21
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $2.96 / $2.96 / $2.96	Facility	26	$2.96	$2.96	$2.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $29.81 / $80.64	Professional		$18.88	$29.81	$80.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.77 / $4.09 / $8.16	Professional	26	$2.77	$4.09	$8.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.69 / $12.10 / $17.86	Professional	52	$8.69	$12.10	$17.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $23.51 / $47.46	Professional	TC	$16.30	$23.51	$47.46
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $83.99 / $145.63	Facility		$54.42	$83.99	$145.63
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $6.66 / $9.42 / $100.00	Facility	26	$6.66	$9.42	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $48.17 / $311.26	Professional		$22.38	$48.17	$311.26
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $3.23 / $6.61 / $129.00	Professional	26	$3.23	$6.61	$129.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $41.10 / $252.63	Professional	TC	$19.13	$41.10	$252.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.33 / $100.87 / $128.99	Facility		$82.33	$100.87	$128.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $69.20	Professional		$4.13	$4.13	$69.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $8.26 / $8.26	Professional	26	$8.26	$8.26	$8.26
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $34.60 / $34.60 / $34.60	Professional	52	$34.60	$34.60	$34.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.94 / $60.94 / $60.94	Professional	TC	$60.94	$60.94	$60.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $43.87 / $76.22	Professional		$22.12	$43.87	$76.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.10 / $6.15 / $13.28	Professional	26	$3.10	$6.15	$13.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $36.92 / $65.70	Professional	TC	$19.48	$36.92	$65.70
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $53.00 / $8,090.00	Facility		$24.41	$53.00	$8,090.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $16.19 / $38.34	Professional		$2.29	$16.19	$38.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $57.20 / $74.87	Professional		$28.26	$57.20	$74.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $3.69 / $7.36 / $9.41	Professional	26	$3.69	$7.36	$9.41
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.58 / $48.73 / $64.28	Professional	TC	$24.58	$48.73	$64.28
Health New England Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $122.40 / $168.92	Facility		$122.40	$122.40	$168.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $7.55 / $8.89	Professional		$6.88	$7.55	$8.89
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $132.93 / $132.93	Facility		$45.61	$132.93	$132.93
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $13.48 / $100.00 / $100.00	Facility	26	$13.48	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $50.13 / $311.26	Professional		$23.65	$50.13	$311.26
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $3.33 / $7.29 / $129.00	Professional	26	$3.33	$7.29	$129.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.71 / $41.10 / $252.63	Professional	TC	$20.71	$41.10	$252.63
Tufts Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Facility		$18.23	$18.23	$18.23
Tufts Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $27.02 / $28.21	Professional		$27.02	$27.02	$28.21
United Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $43.19 / $73.90	Professional		$23.38	$43.19	$73.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.25 / $5.80 / $12.57	Professional	26	$3.25	$5.80	$12.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.13 / $35.22 / $56.87	Professional	TC	$19.13	$35.22	$56.87