Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $21.88 / $53.70	Facility	26	$10.00	$21.88	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $239.88	Professional		$36.31	$53.70	$239.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.78 / $52.48	Professional	26	$10.47	$17.78	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $87.10	Professional	TC	$22.91	$34.67	$87.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $100.00 / $100.00	Facility	26	$31.62	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $436.52	Professional		$38.02	$64.57	$436.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $18.62 / $97.72	Professional	26	$11.75	$18.62	$97.72
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $46.77 / $426.58	Professional	TC	$29.51	$46.77	$426.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $26.30 / $34.67	Professional	26	$15.49	$26.30	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $134.90	Professional		$38.02	$70.79	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.42 / $39.81	Professional	26	$12.02	$20.42	$39.81
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 $17.38 / $53.70 / $95.50	Professional		$17.38	$53.70	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $147.91	Professional		$47.86	$75.86	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.95 / $36.31	Professional	26	$13.49	$19.95	$36.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $51.29 / $95.50	Professional	TC	$34.67	$51.29	$95.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $42.66	Professional		$19.05	$23.99	$42.66
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $100.00 / $100.00	Facility	26	$31.62	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $436.52	Professional		$39.81	$64.57	$436.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $18.62 / $97.72	Professional	26	$12.02	$18.62	$97.72
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $46.77 / $426.58	Professional	TC	$29.51	$46.77	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $131.83	Professional		$44.67	$64.57	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.62 / $36.31	Professional	26	$13.49	$18.62	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $45.71 / $93.33	Professional	TC	$32.36	$45.71	$93.33