Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $21.38 / $54.95	Facility	26	$10.00	$21.38	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $213.80	Professional		$33.11	$52.48	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $21.88 / $45.71	Professional	26	$10.96	$21.88	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $89.13	Professional	TC	$21.88	$31.62	$89.13
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $100.00 / $100.00	Facility	26	$32.36	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $281.84	Professional		$36.31	$58.88	$281.84
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.50 / $100.00	Professional	26	$11.75	$19.50	$100.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $251.19	Professional	TC	$26.92	$40.74	$251.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $26.92 / $35.48	Professional	26	$15.85	$26.92	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $66.07 / $120.23	Professional		$34.67	$66.07	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $20.42 / $40.74	Professional	26	$11.75	$20.42	$40.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $45.71 / $87.10	Professional	TC	$25.70	$45.71	$87.10
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $46.77 / $85.11	Professional		$17.78	$46.77	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $141.25	Professional		$44.67	$79.43	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $19.50 / $37.15	Professional	26	$13.80	$19.50	$37.15
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 / $23.44 / $70.79	Professional		$19.50	$23.44	$70.79
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $100.00 / $100.00	Facility	26	$32.36	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $281.84	Professional		$36.31	$58.88	$281.84
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $19.50 / $100.00	Professional	26	$11.75	$19.50	$100.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $40.74 / $251.19	Professional	TC	$27.54	$40.74	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $120.23	Professional		$43.65	$60.26	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.50 / $37.15	Professional	26	$13.18	$19.50	$37.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $81.28	Professional	TC	$28.18	$39.81	$81.28