Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.48 / $10.48 / $38.81	Facility	26	$10.48	$10.48	$38.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $44.39 / $78.51	Professional		$33.04	$44.39	$78.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $13.00 / $23.70	Professional	26	$10.48	$13.00	$23.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.57 / $59.42	Professional	TC	$22.57	$31.57	$59.42
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.54 / $33.13 / $100.00	Facility	26	$31.54	$33.13	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $69.75 / $438.00	Professional		$42.82	$69.75	$438.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.47 / $20.56 / $97.41	Professional	26	$12.47	$20.56	$97.41
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.96 / $55.69 / $423.00	Professional	TC	$31.96	$55.69	$423.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.27 / $25.23 / $34.08	Professional	26	$18.27	$25.23	$34.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $76.27 / $155.35	Professional		$45.36	$76.27	$155.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.15 / $22.40 / $39.95	Professional	26	$14.15	$22.40	$39.95
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 $17.21 / $51.13 / $91.41	Professional		$17.21	$51.13	$91.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $116.81 / $156.38	Professional		$58.57	$116.81	$156.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $32.47 / $42.84	Professional	26	$16.38	$32.47	$42.84
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 $18.95 / $21.49 / $75.45	Professional		$18.95	$21.49	$75.45
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $31.72 / $100.00 / $100.00	Facility	26	$31.72	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $70.01 / $438.00	Professional		$46.81	$70.01	$438.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $14.01 / $21.55 / $97.41	Professional	26	$14.01	$21.55	$97.41
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $55.69 / $423.00	Professional	TC	$32.79	$55.69	$423.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $63.55 / $143.88	Professional		$45.55	$63.55	$143.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $18.71 / $33.19	Professional	26	$13.44	$18.71	$33.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.26 / $44.88 / $82.87	Professional	TC	$32.26	$44.88	$82.87