Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $17.78 / $51.29	Facility	26	$8.91	$17.78	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $162.18	Professional		$23.99	$47.86	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $20.89 / $44.67	Professional	26	$10.96	$20.89	$44.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $36.31 / $93.33	Professional	TC	$22.39	$36.31	$93.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $100.00 / $100.00	Facility	26	$30.20	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $269.15	Professional		$33.88	$57.54	$269.15
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.78 / $93.33	Professional	26	$11.48	$17.78	$93.33
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $229.09	Professional	TC	$25.12	$39.81	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $24.55 / $33.11	Professional	26	$14.45	$24.55	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $63.10 / $85.11	Professional	TC	$37.15	$63.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $120.23	Professional		$33.88	$63.10	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.95 / $38.02	Professional	26	$11.75	$19.95	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $44.67 / $85.11	Professional	TC	$23.99	$44.67	$85.11
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $45.71 / $83.18	Professional		$16.98	$45.71	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $131.83	Professional		$43.65	$61.66	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.78 / $33.11	Professional	26	$13.18	$17.78	$33.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $44.67 / $83.18	Professional	TC	$30.20	$44.67	$83.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $77.62	Professional		$19.50	$22.91	$77.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $100.00 / $100.00	Facility	26	$30.20	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $269.15	Professional		$34.67	$57.54	$269.15
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $17.78 / $93.33	Professional	26	$11.48	$17.78	$93.33
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $39.81 / $229.09	Professional	TC	$25.12	$39.81	$229.09
Tufts Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $75.86	Professional		$31.62	$42.66	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $117.49	Professional		$39.81	$57.54	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.78 / $34.67	Professional	26	$12.59	$17.78	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $81.28	Professional	TC	$27.54	$38.90	$81.28