Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.23 / $8.58 / $23.15	Facility	26	$6.23	$8.58	$23.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $29.12 / $79.56	Professional		$21.81	$29.12	$79.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $8.98 / $26.92	Professional	26	$6.37	$8.98	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $20.17 / $55.43	Professional	TC	$15.58	$20.17	$55.43
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.44 / $63.44 / $100.00	Facility	26	$20.44	$63.44	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $44.24 / $202.27	Professional		$26.14	$44.24	$202.27
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $13.08 / $111.75	Professional	26	$7.88	$13.08	$111.75
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $35.79 / $146.99	Professional	TC	$19.57	$35.79	$146.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $16.35 / $25.40	Professional	26	$9.94	$16.35	$25.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.61 / $48.09 / $63.91	Professional	TC	$36.61	$48.09	$63.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $49.34 / $100.50	Professional		$27.55	$49.34	$100.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $13.78 / $25.81	Professional	26	$9.11	$13.78	$25.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.30 / $36.67 / $75.73	Professional	TC	$19.30	$36.67	$75.73
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $33.71 / $60.07	Professional		$11.15	$33.71	$60.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $70.84 / $100.68	Professional		$27.85	$70.84	$100.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $21.24 / $27.85	Professional	26	$10.65	$21.24	$27.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.86 / $57.39 / $73.86	Professional	TC	$32.86	$57.39	$73.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $24.91 / $70.55	Professional		$13.62	$24.91	$70.55
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $63.44 / $100.00 / $100.00	Facility	26	$63.44	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $45.45 / $202.27	Professional		$28.89	$45.45	$202.27
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $14.02 / $111.75	Professional	26	$8.83	$14.02	$111.75
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $36.72 / $146.99	Professional	TC	$20.99	$36.72	$146.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $38.50 / $76.05	Professional		$27.79	$38.50	$76.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $12.13 / $26.60	Professional	26	$8.44	$12.13	$26.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $29.56 / $54.58	Professional	TC	$19.82	$29.56	$54.58