Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.52 / $6.52 / $24.23	Facility	26	$6.52	$6.52	$24.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $31.23 / $57.80	Professional		$23.27	$31.23	$57.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $8.13 / $23.85	Professional	26	$6.52	$8.13	$23.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $22.86 / $33.40	Professional	TC	$16.75	$22.86	$33.40
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 $31.09 / $49.99 / $208.83	Professional		$31.09	$49.99	$208.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.63 / $66.04	Professional	26	$7.88	$12.63	$66.04
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $38.89 / $188.00	Professional	TC	$22.34	$38.89	$188.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $15.74 / $24.45	Professional	26	$9.57	$15.74	$24.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.47 / $30.47 / $86.14	Professional	TC	$30.47	$30.47	$86.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $53.66 / $103.95	Professional		$32.64	$53.66	$103.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $14.28 / $24.85	Professional	26	$8.89	$14.28	$24.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.78 / $40.83 / $79.09	Professional	TC	$24.78	$40.83	$79.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $35.70 / $62.88	Professional		$10.73	$35.70	$62.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $80.02 / $105.60	Professional		$39.72	$80.02	$105.60
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 $34.79 / $60.65 / $78.20	Professional	TC	$34.79	$60.65	$78.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $50.83 / $68.93	Professional		$12.18	$50.83	$68.93
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 $31.41 / $50.46 / $208.83	Professional		$31.41	$50.46	$208.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.64 / $66.04	Professional	26	$8.63	$13.64	$66.04
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.03 / $38.89 / $188.00	Professional	TC	$24.03	$38.89	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $41.75 / $75.14	Professional		$31.40	$41.75	$75.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.69 / $20.68	Professional	26	$8.46	$11.69	$20.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.38 / $31.87 / $77.12	Professional	TC	$22.38	$31.87	$77.12