Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $13.80 / $33.88	Facility	26	$6.03	$13.80	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $162.18	Professional		$23.99	$36.31	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.96 / $30.20	Professional	26	$6.46	$10.96	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $25.12 / $64.57	Professional	TC	$16.98	$25.12	$64.57
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $208.93	Professional		$26.92	$43.65	$208.93
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $66.07	Professional	26	$7.41	$11.75	$66.07
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $186.21	Professional	TC	$21.38	$31.62	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.22 / $21.88	Professional	26	$9.55	$16.22	$21.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $44.67 / $89.13	Professional	TC	$30.20	$44.67	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $91.20	Professional		$26.92	$48.98	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.88 / $25.12	Professional	26	$7.59	$12.88	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $37.15 / $70.79	Professional	TC	$20.42	$37.15	$70.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $37.15 / $67.61	Professional		$11.22	$37.15	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $102.33	Professional		$33.11	$51.29	$102.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.59 / $21.88	Professional	26	$8.51	$12.59	$21.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.31 / $67.61	Professional	TC	$24.55	$36.31	$67.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $42.66 / $69.18	Professional		$12.30	$42.66	$69.18
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.50 / $100.00 / $100.00	Facility	26	$19.50	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $208.93	Professional		$27.54	$43.65	$208.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $11.75 / $66.07	Professional	26	$7.41	$11.75	$66.07
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $31.62 / $186.21	Professional	TC	$21.38	$31.62	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $91.20	Professional		$31.62	$43.65	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.75 / $22.91	Professional	26	$8.32	$11.75	$22.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $31.62 / $66.07	Professional	TC	$22.39	$31.62	$66.07