Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.42 / $11.91 / $34.94	Facility	26	$9.42	$11.91	$34.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $40.11 / $78.05	Professional		$29.67	$40.11	$78.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $11.77 / $27.74	Professional	26	$9.43	$11.77	$27.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $28.41 / $75.83	Professional	TC	$20.23	$28.41	$75.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.53 / $28.92 / $100.00	Facility	26	$27.53	$28.92	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $61.29 / $282.36	Professional		$36.79	$61.29	$282.36
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $18.22 / $90.81	Professional	26	$11.14	$18.22	$90.81
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.26 / $51.35 / $211.00	Professional	TC	$28.26	$51.35	$211.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $23.08 / $30.68	Professional	26	$13.81	$23.08	$30.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $68.89 / $140.33	Professional		$40.64	$68.89	$140.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $19.86 / $35.03	Professional	26	$12.75	$19.86	$35.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $51.83 / $105.58	Professional	TC	$28.37	$51.83	$105.58
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $47.15 / $84.31	Professional		$15.48	$47.15	$84.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $105.92 / $142.63	Professional		$45.61	$105.92	$142.63
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $29.12 / $38.57	Professional	26	$14.75	$29.12	$38.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $77.14 / $101.75	Professional	TC	$38.90	$77.14	$101.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.77 / $90.10	Professional		$17.05	$19.77	$90.10
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $28.48 / $100.00 / $100.00	Facility	26	$28.48	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $63.44 / $282.36	Professional		$41.49	$63.44	$282.36
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.61 / $18.94 / $90.81	Professional	26	$12.61	$18.94	$90.81
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.91 / $51.35 / $211.00	Professional	TC	$29.91	$51.35	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $53.66 / $133.65	Professional		$37.74	$53.66	$133.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $16.84 / $38.35	Professional	26	$11.90	$16.84	$38.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.65 / $40.00 / $76.30	Professional	TC	$25.65	$40.00	$76.30