Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.50 / $12.50 / $14.57	Facility	26	$12.50	$12.50	$14.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.36 / $85.57 / $108.62	Facility	TC	$21.36	$85.57	$108.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $41.06 / $80.95	Professional		$33.86	$41.06	$80.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.50 / $15.17 / $33.15	Professional	26	$12.50	$15.17	$33.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.36 / $25.78 / $46.68	Professional	TC	$21.36	$25.78	$46.68
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $34.69 / $36.44 / $72.72	Facility	26	$34.69	$36.44	$72.72
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $65.76 / $84.08 / $169.86	Facility	TC	$65.76	$84.08	$169.86
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $63.66 / $297.38	Professional		$42.23	$63.66	$297.38
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $21.61 / $93.99	Professional	26	$14.64	$21.61	$93.99
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.15 / $42.36 / $203.39	Professional	TC	$28.15	$42.36	$203.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.87 / $27.75 / $43.11	Professional	26	$16.87	$27.75	$43.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.65 / $37.72 / $41.88	Professional	TC	$27.65	$37.72	$41.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $72.27 / $147.21	Professional		$46.16	$72.27	$147.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $24.99 / $43.83	Professional	26	$16.05	$24.99	$43.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.23 / $49.12 / $103.37	Professional	TC	$30.23	$49.12	$103.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $46.68 / $84.03	Professional		$18.94	$46.68	$84.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $111.25 / $149.16	Professional		$56.12	$111.25	$149.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $35.72 / $47.12	Professional	26	$18.02	$35.72	$47.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $75.51 / $99.61	Professional	TC	$38.09	$75.51	$99.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $23.15 / $73.61	Professional		$21.45	$23.15	$73.61
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $34.97 / $72.72 / $72.72	Facility	26	$34.97	$72.72	$72.72
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $65.76 / $169.86 / $169.86	Facility	TC	$65.76	$169.86	$169.86
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $64.40 / $297.38	Professional		$44.96	$64.40	$297.38
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.77 / $21.61 / $93.99	Professional	26	$15.77	$21.61	$93.99
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $41.16 / $203.39	Professional	TC	$28.83	$41.16	$203.39
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $60.16 / $105.58	Professional		$43.88	$60.16	$105.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $21.53 / $39.60	Professional	26	$15.47	$21.53	$39.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.50 / $40.20 / $90.96	Professional	TC	$28.50	$40.20	$90.96