Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $19.95 / $50.12	Facility	26	$8.91	$19.95	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $208.93	Professional		$35.48	$61.66	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $18.62 / $47.86	Professional	26	$10.00	$18.62	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $102.33	Professional	TC	$24.55	$36.31	$102.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $100.00 / $100.00	Facility	26	$28.84	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $309.03	Professional		$38.02	$63.10	$309.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.78 / $95.50	Professional	26	$10.72	$17.78	$95.50
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $46.77 / $251.19	Professional	TC	$29.51	$46.77	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $24.55 / $32.36	Professional	26	$14.13	$24.55	$32.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $74.13 / $100.00	Professional	TC	$43.65	$74.13	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $128.82	Professional		$37.15	$69.18	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $37.15	Professional	26	$10.96	$19.05	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $52.48 / $100.00	Professional	TC	$28.18	$52.48	$100.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $53.70 / $97.72	Professional		$16.60	$53.70	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $154.88	Professional		$47.86	$91.20	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $18.62 / $34.67	Professional	26	$12.59	$18.62	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $48.98 / $97.72	Professional	TC	$35.48	$48.98	$97.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $100.00	Professional		$18.20	$24.55	$100.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $100.00 / $100.00	Facility	26	$28.84	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $309.03	Professional		$38.90	$63.10	$309.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.78 / $95.50	Professional	26	$11.22	$17.78	$95.50
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $46.77 / $251.19	Professional	TC	$30.20	$46.77	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $131.83	Professional		$43.65	$63.10	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.78 / $33.88	Professional	26	$12.30	$17.78	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $95.50	Professional	TC	$32.36	$45.71	$95.50