Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.08 / $15.16 / $45.49	Facility	26	$12.08	$15.16	$45.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $53.00 / $121.59	Professional		$36.97	$53.00	$121.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.08 / $15.40 / $46.09	Professional	26	$12.08	$15.40	$46.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.90 / $35.61 / $75.42	Professional	TC	$24.90	$35.61	$75.42
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $36.11 / $37.93 / $100.00	Facility	26	$36.11	$37.93	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $79.04 / $338.57	Professional		$47.76	$79.04	$338.57
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.10 / $23.24 / $117.24	Professional	26	$14.10	$23.24	$117.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $60.99 / $291.00	Professional	TC	$35.32	$60.99	$291.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.67 / $28.89 / $39.01	Professional	26	$19.67	$28.89	$39.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $86.85 / $168.03	Professional		$52.73	$86.85	$168.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.41 / $25.45 / $45.80	Professional	26	$16.41	$25.45	$45.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.14 / $61.81 / $123.23	Professional	TC	$37.14	$61.81	$123.23
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $55.11 / $98.54	Professional		$19.71	$55.11	$98.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $129.52 / $170.94	Professional		$64.31	$129.52	$170.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $37.35 / $49.27	Professional	26	$18.84	$37.35	$49.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $53.65 / $93.55 / $118.91	Professional	TC	$53.65	$93.55	$118.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $25.19 / $82.79	Professional		$23.61	$25.19	$82.79
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $100.00 / $100.00	Facility	26	$36.20	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $79.83 / $338.57	Professional		$51.44	$79.83	$338.57
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.89 / $24.78 / $117.24	Professional	26	$15.89	$24.78	$117.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $61.33 / $291.00	Professional	TC	$35.47	$61.33	$291.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $70.66 / $122.00	Professional		$51.44	$70.66	$122.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.34 / $21.54 / $41.59	Professional	26	$15.34	$21.54	$41.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.32 / $49.88 / $99.93	Professional	TC	$35.32	$49.88	$99.93