Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.51 / $8.25 / $24.23	Facility	26	$6.51	$8.25	$24.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $33.61 / $67.88	Professional		$25.59	$33.61	$67.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $8.32 / $25.98	Professional	26	$6.52	$8.32	$25.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $25.92 / $55.04	Professional	TC	$19.07	$25.92	$55.04
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $20.67 / $100.00	Facility	26	$19.60	$20.67	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $52.80 / $245.68	Professional		$30.43	$52.80	$245.68
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.87 / $61.09	Professional	26	$7.88	$12.87	$61.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.66 / $46.68 / $192.57	Professional	TC	$24.66	$46.68	$192.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.88 / $10.64	Professional		$4.79	$7.88	$10.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $15.74 / $21.26	Professional	26	$9.57	$15.74	$21.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.48 / $62.98 / $82.80	Professional	TC	$47.48	$62.98	$82.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $60.24 / $122.71	Professional		$32.35	$60.24	$122.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $13.75 / $24.83	Professional	26	$8.89	$13.75	$24.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.30 / $48.04 / $98.88	Professional	TC	$24.30	$48.04	$98.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $43.31 / $73.55	Professional		$10.73	$43.31	$73.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $96.38 / $127.22	Professional		$63.08	$96.38	$127.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $20.30 / $26.78	Professional	26	$10.24	$20.30	$26.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.04 / $71.88 / $94.25	Professional	TC	$36.04	$71.88	$94.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.22 / $73.59	Professional		$11.69	$16.22	$73.59
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $53.84 / $245.68	Professional		$33.56	$53.84	$245.68
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $13.44 / $61.09	Professional	26	$8.57	$13.44	$61.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.92 / $47.56 / $192.57	Professional	TC	$25.92	$47.56	$192.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $44.64 / $88.36	Professional		$33.47	$44.64	$88.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.36 / $11.30 / $20.75	Professional	26	$8.36	$11.30	$20.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.18 / $39.61 / $70.73	Professional	TC	$21.18	$39.61	$70.73