Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $13.80 / $33.11	Facility	26	$6.03	$13.80	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $36.31 / $158.49	Professional		$21.38	$36.31	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.13 / $43.65	Professional	26	$7.08	$14.13	$43.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $46.77 / $177.83	Professional	50	$36.31	$46.77	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.91 / $64.57	Professional	TC	$15.14	$22.91	$64.57
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $100.00 / $100.00	Facility	26	$20.42	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $208.93	Professional		$25.70	$40.74	$208.93
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $83.18	Professional	26	$7.41	$11.22	$83.18
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $154.88	Professional	TC	$19.05	$32.36	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $22.91	Professional	26	$10.00	$16.98	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $91.20	Professional		$25.70	$46.77	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.88 / $24.55	Professional	26	$7.41	$12.88	$24.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $36.31 / $70.79	Professional	TC	$18.62	$36.31	$70.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $38.02 / $67.61	Professional		$11.75	$38.02	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $102.33	Professional		$33.88	$51.29	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.88 / $22.91	Professional	26	$8.91	$12.88	$22.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $69.18	Professional	TC	$24.55	$38.02	$69.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $19.95	Professional		$11.75	$15.14	$19.95
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $100.00 / $100.00	Facility	26	$20.42	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $208.93	Professional		$25.70	$40.74	$208.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.22 / $83.18	Professional	26	$7.41	$11.22	$83.18
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $32.36 / $154.88	Professional	TC	$19.05	$32.36	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $91.20	Professional		$27.54	$41.69	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.22 / $23.99	Professional	26	$8.13	$11.22	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.90 / $66.07	Professional	TC	$19.95	$30.90	$66.07