Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.90 / $13.63 / $29.30	Facility	26	$7.90	$13.63	$29.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $30.42 / $36.76	Professional		$23.19	$30.42	$36.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.09 / $13.63	Professional	26	$7.39	$9.09	$13.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $20.87 / $25.26	Professional	TC	$15.29	$20.87	$25.26
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $24.05 / $100.00	Facility	26	$22.61	$24.05	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $49.34 / $206.60	Professional		$31.42	$49.34	$206.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $14.66 / $78.44	Professional	26	$8.49	$14.66	$78.44
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.26 / $36.18 / $193.00	Professional	TC	$21.26	$36.18	$193.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $18.36 / $28.52	Professional	26	$11.16	$18.36	$28.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.35 / $40.79 / $80.15	Professional	TC	$28.35	$40.79	$80.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.71 / $102.56	Professional		$32.36	$50.71	$102.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $15.94 / $28.98	Professional	26	$9.85	$15.94	$28.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.67 / $37.40 / $74.63	Professional	TC	$22.67	$37.40	$74.63
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $33.22 / $60.13	Professional		$12.48	$33.22	$60.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $78.42 / $104.51	Professional		$39.32	$78.42	$104.51
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $23.55 / $31.07	Professional	26	$11.88	$23.55	$31.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.44 / $55.26 / $71.76	Professional	TC	$27.44	$55.26	$71.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $22.61 / $100.00 / $100.00	Facility	26	$22.61	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $50.53 / $206.60	Professional		$32.03	$50.53	$206.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $15.33 / $78.44	Professional	26	$9.52	$15.33	$78.44
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.25 / $37.02 / $193.00	Professional	TC	$23.25	$37.02	$193.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $43.94 / $75.69	Professional		$31.76	$43.94	$75.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $13.21 / $26.31	Professional	26	$9.17	$13.21	$26.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.29 / $30.32 / $53.98	Professional	TC	$21.29	$30.32	$53.98