Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.23 / $6.23 / $23.15	Facility	26	$6.23	$6.23	$23.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $29.09 / $58.91	Professional		$21.52	$29.09	$58.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.23 / $8.16 / $21.62	Professional	26	$6.23	$8.16	$21.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.22 / $146.00 / $192.30	Professional	50	$47.22	$146.00	$192.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.00 / $45.59	Professional	TC	$15.29	$21.00	$45.59
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $21.47 / $100.00	Facility	26	$20.44	$21.47	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $45.40 / $208.77	Professional		$26.33	$45.40	$208.77
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.84 / $82.56	Professional	26	$7.88	$12.84	$82.56
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $38.27 / $153.47	Professional	TC	$19.82	$38.27	$153.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $16.35 / $22.08	Professional	26	$9.94	$16.35	$22.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $50.96 / $103.81	Professional		$27.87	$50.96	$103.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $13.75 / $25.37	Professional	26	$9.11	$13.75	$25.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.35 / $38.29 / $79.04	Professional	TC	$19.35	$38.29	$79.04
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $36.21 / $64.13	Professional		$11.15	$36.21	$64.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $81.09 / $107.78	Professional		$40.54	$81.09	$107.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $21.11 / $27.85	Professional	26	$10.65	$21.11	$27.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.90 / $59.27 / $78.19	Professional	TC	$29.90	$59.27	$78.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.30 / $77.34	Professional		$12.18	$15.30	$77.34
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.47 / $100.00 / $100.00	Facility	26	$20.47	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $46.55 / $208.77	Professional		$29.04	$46.55	$208.77
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $13.08 / $82.56	Professional	26	$8.38	$13.08	$82.56
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.45 / $39.38 / $153.47	Professional	TC	$21.45	$39.38	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $37.97 / $75.84	Professional		$26.33	$37.97	$75.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.01 / $11.17 / $27.26	Professional	26	$8.01	$11.17	$27.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $29.36 / $57.98	Professional	TC	$21.06	$29.36	$57.98