Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $10.23 / $16.64	Professional	26	$8.25	$10.23	$16.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.07 / $24.60 / $30.07	Professional	TC	$19.07	$24.60	$30.07
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $16.20 / $77.59	Professional	26	$9.51	$16.20	$77.59
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.65 / $43.89 / $300.00	Professional	TC	$25.65	$43.89	$300.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.33 / $20.28 / $27.39	Professional	26	$12.33	$20.28	$27.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.02 / $17.32 / $32.01	Professional	26	$11.02	$17.32	$32.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.81 / $45.96 / $90.13	Professional	TC	$26.81	$45.96	$90.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $26.15 / $34.28	Professional	26	$13.11	$26.15	$34.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.77 / $65.36 / $83.53	Professional	TC	$32.77	$65.36	$83.53
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $17.29 / $77.59	Professional	26	$10.83	$17.29	$77.59
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.39 / $43.98 / $300.00	Professional	TC	$27.39	$43.98	$300.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $15.04 / $25.90	Professional	26	$10.36	$15.04	$25.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.06 / $36.27 / $66.34	Professional	TC	$26.06	$36.27	$66.34