Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.93 / $12.57 / $37.59	Facility	26	$9.93	$12.57	$37.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $39.52 / $104.12	Professional		$21.83	$39.52	$104.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.94 / $13.50 / $39.04	Professional	26	$9.94	$13.50	$39.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $27.04 / $78.67	Professional	TC	$18.20	$27.04	$78.67
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $29.93 / $31.44 / $100.00	Facility	26	$29.93	$31.44	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $61.44 / $271.47	Professional		$37.68	$61.44	$271.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $19.97 / $94.11	Professional	26	$12.16	$19.97	$94.11
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.34 / $47.57 / $227.00	Professional	TC	$27.34	$47.57	$227.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $12.17 / $18.60	Professional		$7.28	$12.17	$18.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $24.46 / $32.32	Professional	26	$17.32	$24.46	$32.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.39 / $62.30 / $95.23	Professional	TC	$44.39	$62.30	$95.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $67.41 / $134.53	Professional		$40.21	$67.41	$134.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.46 / $21.52 / $38.01	Professional	26	$13.46	$21.52	$38.01
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.99 / $47.50 / $97.77	Professional	TC	$28.99	$47.50	$97.77
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $43.67 / $78.98	Professional		$16.34	$43.67	$78.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $102.93 / $137.94	Professional		$51.61	$102.93	$137.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.56 / $30.85 / $40.69	Professional	26	$15.56	$30.85	$40.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.04 / $71.88 / $94.25	Professional	TC	$36.04	$71.88	$94.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.00 / $89.88	Professional		$19.50	$38.00	$89.88
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $30.22 / $100.00 / $100.00	Facility	26	$30.22	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $61.84 / $271.47	Professional		$41.05	$61.84	$271.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.30 / $20.46 / $94.11	Professional	26	$13.30	$20.46	$94.11
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.75 / $47.57 / $227.00	Professional	TC	$27.75	$47.57	$227.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $44.87 / $74.00	Professional		$33.26	$44.87	$74.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $50.74 / $101.49	Professional		$40.32	$50.74	$101.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.94 / $17.75 / $34.47	Professional	26	$12.94	$17.75	$34.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.72 / $39.61 / $70.72	Professional	TC	$27.72	$39.61	$70.72