Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.43 / $10.24 / $34.94	Facility	26	$9.43	$10.24	$34.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $38.29 / $67.15	Professional		$29.09	$38.29	$67.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $11.87 / $35.00	Professional	26	$9.43	$11.87	$35.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $27.03 / $45.41	Professional	TC	$19.66	$27.03	$45.41
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $24.38 / $25.61 / $100.00	Facility	26	$24.38	$25.61	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $59.47 / $262.00	Professional		$36.78	$59.47	$262.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $16.69 / $107.32	Professional	26	$10.54	$16.69	$107.32
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $44.31 / $249.00	Professional	TC	$25.62	$44.31	$249.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $19.80 / $30.28	Professional	26	$11.85	$19.80	$30.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.72 / $57.11 / $77.13	Professional	TC	$34.72	$57.11	$77.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $65.66 / $120.90	Professional		$38.03	$65.66	$120.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.07 / $18.45 / $32.57	Professional	26	$11.07	$18.45	$32.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.41 / $47.75 / $90.13	Professional	TC	$29.41	$47.75	$90.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $40.69 / $72.75	Professional		$13.31	$40.69	$72.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $92.30 / $123.01	Professional		$46.28	$92.30	$123.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $25.18 / $33.21	Professional	26	$12.70	$25.18	$33.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.59 / $67.65 / $87.84	Professional	TC	$33.59	$67.65	$87.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $23.35 / $78.02	Professional		$15.10	$23.35	$78.02
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $24.59 / $100.00 / $100.00	Facility	26	$24.59	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $61.34 / $262.00	Professional		$39.47	$61.34	$262.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $18.48 / $107.32	Professional	26	$11.20	$18.48	$107.32
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $44.86 / $249.00	Professional	TC	$28.00	$44.86	$249.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $53.53 / $121.03	Professional		$39.40	$53.53	$121.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $14.36 / $26.50	Professional	26	$11.14	$14.36	$26.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.56 / $37.15 / $68.73	Professional	TC	$26.56	$37.15	$68.73