Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $37.89	Facility	26	$10.23	$10.23	$37.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $40.97 / $77.45	Professional		$29.01	$40.97	$77.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.04 / $33.88	Professional	26	$10.23	$13.04	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $27.64 / $56.30	Professional	TC	$18.78	$27.64	$56.30
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $32.33 / $33.96 / $100.00	Facility	26	$32.33	$33.96	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $66.27 / $282.23	Professional		$41.61	$66.27	$282.23
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $20.64 / $100.72	Professional	26	$12.16	$20.64	$100.72
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $48.65 / $254.00	Professional	TC	$28.46	$48.65	$254.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $25.84 / $34.90	Professional	26	$15.71	$25.84	$34.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $68.80 / $139.77	Professional		$44.15	$68.80	$139.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $22.70 / $40.81	Professional	26	$14.09	$22.70	$40.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.91 / $49.91 / $99.98	Professional	TC	$29.91	$49.91	$99.98
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $45.18 / $82.08	Professional		$17.64	$45.18	$82.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $107.02 / $143.36	Professional		$53.66	$107.02	$143.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $33.49 / $43.91	Professional	26	$16.79	$33.49	$43.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $74.23 / $96.39	Professional	TC	$36.86	$74.23	$96.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $23.59 / $70.92	Professional		$19.43	$23.59	$70.92
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $32.60 / $100.00 / $100.00	Facility	26	$32.60	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $67.86 / $282.23	Professional		$43.67	$67.86	$282.23
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $22.07 / $100.72	Professional	26	$13.97	$22.07	$100.72
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $30.22 / $48.65 / $254.00	Professional	TC	$30.22	$48.65	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $60.32 / $118.47	Professional		$43.18	$60.32	$118.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.07 / $19.38 / $34.82	Professional	26	$13.07	$19.38	$34.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $40.64 / $81.64	Professional	TC	$28.51	$40.64	$81.64