Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $16.22 / $41.69	Facility	26	$8.91	$16.22	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $165.96	Professional		$30.20	$44.67	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $17.38 / $46.77	Professional	26	$8.91	$17.38	$46.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $79.43	Professional	TC	$20.89	$30.20	$79.43
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $100.00 / $100.00	Facility	26	$24.55	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $263.03	Professional		$31.62	$51.29	$263.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $107.15	Professional	26	$9.55	$15.14	$107.15
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $251.19	Professional	TC	$24.55	$38.02	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $20.42 / $26.92	Professional	26	$11.75	$20.42	$26.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $58.88 / $79.43	Professional	TC	$34.67	$58.88	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $112.20	Professional		$32.36	$58.88	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $31.62	Professional	26	$10.00	$16.98	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $44.67 / $79.43	Professional	TC	$23.44	$44.67	$79.43
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $42.66 / $79.43	Professional		$13.80	$42.66	$79.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $117.49	Professional		$38.90	$61.66	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.22 / $28.84	Professional	26	$11.22	$16.22	$28.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $41.69 / $83.18	Professional	TC	$28.18	$41.69	$83.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.11 / $79.43	Professional		$15.14	$33.11	$79.43
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $100.00 / $100.00	Facility	26	$24.55	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $263.03	Professional		$33.11	$51.29	$263.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $107.15	Professional	26	$9.55	$15.14	$107.15
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $251.19	Professional	TC	$24.55	$38.02	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $107.15	Professional		$37.15	$51.29	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $15.14 / $28.84	Professional	26	$11.22	$15.14	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $36.31 / $74.13	Professional	TC	$25.70	$36.31	$74.13