Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.86 / $10.86 / $12.91	Facility	26	$10.86	$10.86	$12.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.77 / $84.01 / $262.89	Facility	TC	$20.77	$84.01	$262.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $38.24 / $74.61	Professional		$31.63	$38.24	$74.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $13.17 / $37.04	Professional	26	$10.86	$13.17	$37.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $25.05 / $34.99	Professional	TC	$20.77	$25.05	$34.99
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.78 / $32.33 / $70.00	Facility	26	$30.78	$32.33	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $77.86 / $158.84	Facility	TC	$61.48	$77.86	$158.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $59.25 / $271.47	Professional		$39.27	$59.25	$271.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.00 / $18.44 / $81.06	Professional	26	$13.00	$18.44	$81.06
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.50 / $41.13 / $190.40	Professional	TC	$26.50	$41.13	$190.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $25.02 / $38.25	Professional	26	$17.37	$25.02	$38.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $34.94 / $39.20	Professional	TC	$26.89	$34.94	$39.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $66.05 / $134.53	Professional		$42.52	$66.05	$134.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.94 / $21.72 / $38.83	Professional	26	$13.94	$21.72	$38.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.91 / $45.76 / $96.75	Professional	TC	$28.91	$45.76	$96.75
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $43.54 / $77.56	Professional		$16.78	$43.54	$77.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $102.31 / $134.97	Professional		$51.61	$102.31	$134.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $31.85 / $41.76	Professional	26	$15.97	$31.85	$41.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.64 / $71.78 / $93.20	Professional	TC	$35.64	$71.78	$93.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $25.71 / $65.18	Professional		$18.98	$25.71	$65.18
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $70.00 / $70.00	Facility	26	$30.85	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $61.48 / $158.84 / $158.84	Facility	TC	$61.48	$158.84	$158.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $60.11 / $271.47	Professional		$41.41	$60.11	$271.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.44 / $18.80 / $81.06	Professional	26	$13.44	$18.80	$81.06
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.74 / $39.61 / $190.40	Professional	TC	$27.74	$39.61	$190.40
United Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $55.46 / $102.40	Professional		$41.05	$55.46	$102.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $18.27 / $32.36	Professional	26	$13.35	$18.27	$32.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.70 / $39.20 / $69.92	Professional	TC	$27.70	$39.20	$69.92