Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $11.24 / $35.06	Facility	26	$9.61	$11.24	$35.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $48.84 / $89.84	Professional		$37.14	$48.84	$89.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.61 / $11.29 / $23.34	Professional	26	$9.61	$11.29	$23.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.52 / $37.56 / $70.84	Professional	TC	$27.52	$37.56	$70.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.78 / $28.13 / $100.00	Facility	26	$26.78	$28.13	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $75.16 / $345.31	Professional		$45.49	$75.16	$345.31
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $17.68 / $142.00	Professional	26	$10.83	$17.68	$142.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.45 / $67.62 / $272.83	Professional	TC	$37.45	$67.62	$272.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.01 / $21.40 / $28.90	Professional	26	$13.01	$21.40	$28.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $84.67 / $172.46	Professional		$50.85	$84.67	$172.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.06 / $19.51 / $34.11	Professional	26	$12.06	$19.51	$34.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.56 / $68.08 / $138.68	Professional	TC	$38.56	$68.08	$138.68
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $61.58 / $103.62	Professional		$14.61	$61.58	$103.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $129.90 / $170.32	Professional		$65.13	$129.90	$170.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.93 / $27.78 / $36.43	Professional	26	$13.93	$27.78	$36.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.20 / $102.11 / $133.88	Professional	TC	$51.20	$102.11	$133.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $19.84 / $83.32	Professional		$16.55	$19.84	$83.32
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $26.96 / $100.00 / $100.00	Facility	26	$26.96	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $77.19 / $345.31	Professional		$51.00	$77.19	$345.31
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $18.92 / $142.00	Professional	26	$12.25	$18.92	$142.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $39.65 / $67.62 / $272.83	Professional	TC	$39.65	$67.62	$272.83
United Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $68.00 / $123.82	Professional		$45.93	$68.00	$123.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.57 / $16.05 / $29.01	Professional	26	$11.57	$16.05	$29.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.46 / $54.62 / $99.40	Professional	TC	$37.46	$54.62	$99.40