Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.77 / $6.77 / $25.14	Facility	26	$6.77	$6.77	$25.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $33.57 / $63.73	Professional		$25.81	$33.57	$63.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $8.46 / $13.32	Professional	26	$6.77	$8.46	$13.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $24.87 / $49.84	Professional	TC	$19.07	$24.87	$49.84
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 $30.52 / $53.79 / $293.00	Professional		$30.52	$53.79	$293.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $13.51 / $55.28	Professional	26	$8.18	$13.51	$55.28
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $47.73 / $283.00	Professional	TC	$24.50	$47.73	$283.00
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 $33.28 / $60.71 / $123.67	Professional		$33.28	$60.71	$123.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.25 / $14.85 / $25.81	Professional	26	$9.25	$14.85	$25.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $46.28 / $98.88	Professional	TC	$24.30	$46.28	$98.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $44.31 / $73.48	Professional		$11.15	$44.31	$73.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $95.69 / $126.28	Professional		$47.51	$95.69	$126.28
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $21.24 / $27.85	Professional	26	$10.65	$21.24	$27.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $73.51 / $96.39	Professional	TC	$36.86	$73.51	$96.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.34 / $24.91	Professional		$13.00	$13.34	$24.91
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 $33.82 / $54.59 / $293.00	Professional		$33.82	$54.59	$293.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.07 / $55.28	Professional	26	$8.91	$14.07	$55.28
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $48.65 / $283.00	Professional	TC	$25.16	$48.65	$283.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $46.74 / $90.98	Professional		$33.47	$46.74	$90.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.69 / $12.14 / $22.29	Professional	26	$8.69	$12.14	$22.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.92 / $37.97 / $83.82	Professional	TC	$21.92	$37.97	$83.82