Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.97 / $9.97 / $36.95	Facility	26	$9.97	$9.97	$36.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $43.58 / $116.17	Professional		$32.54	$43.58	$116.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $12.54 / $38.04	Professional	26	$9.97	$12.54	$38.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.21 / $69.95	Professional	TC	$22.57	$31.21	$69.95
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $29.14 / $30.61 / $100.00	Facility	26	$29.14	$30.61	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $68.39 / $306.22	Professional		$42.15	$68.39	$306.22
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $19.19 / $95.76	Professional	26	$11.45	$19.19	$95.76
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.96 / $55.71 / $250.00	Professional	TC	$31.96	$55.71	$250.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.18 / $23.70 / $31.50	Professional	26	$14.18	$23.70	$31.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.64 / $71.56 / $96.95	Professional	TC	$43.64	$71.56	$96.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $74.78 / $152.32	Professional		$46.65	$74.78	$152.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $20.95 / $37.03	Professional	26	$13.11	$20.95	$37.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.90 / $56.71 / $115.51	Professional	TC	$33.90	$56.71	$115.51
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $51.13 / $90.79	Professional		$15.91	$51.13	$90.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $115.48 / $154.22	Professional		$57.34	$115.48	$154.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $30.24 / $39.64	Professional	26	$15.16	$30.24	$39.64
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $42.19 / $84.97 / $110.33	Professional	TC	$42.19	$84.97	$110.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $25.68 / $76.30	Professional		$18.02	$25.68	$76.30
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $29.34 / $100.00 / $100.00	Facility	26	$29.34	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $68.81 / $306.22	Professional		$46.12	$68.81	$306.22
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $20.03 / $95.76	Professional	26	$12.99	$20.03	$95.76
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $55.71 / $250.00	Professional	TC	$32.79	$55.71	$250.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $64.64 / $147.77	Professional		$44.80	$64.64	$147.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $17.80 / $37.92	Professional	26	$12.26	$17.80	$37.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.26 / $42.71 / $83.48	Professional	TC	$32.26	$42.71	$83.48