Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.57 / $9.24 / $28.10	Facility	26	$7.57	$9.24	$28.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $32.14 / $59.24	Professional		$22.86	$32.14	$59.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $9.66 / $30.17	Professional	26	$7.57	$9.66	$30.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $22.58 / $44.96	Professional	TC	$15.29	$22.58	$44.96
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.98 / $23.09 / $100.00	Facility	26	$21.98	$23.09	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $52.01 / $217.42	Professional		$32.85	$52.01	$217.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $15.03 / $72.64	Professional	26	$9.19	$15.03	$72.64
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $38.89 / $199.00	Professional	TC	$22.70	$38.89	$199.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $8.93 / $13.64	Professional		$5.34	$8.93	$13.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $17.57 / $27.29	Professional	26	$10.68	$17.57	$27.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $55.31 / $107.94	Professional		$33.71	$55.31	$107.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $15.98 / $27.99	Professional	26	$9.97	$15.98	$27.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.01 / $40.18 / $80.20	Professional	TC	$24.01	$40.18	$80.20
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $35.70 / $63.83	Professional		$12.01	$35.70	$63.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $82.49 / $109.69	Professional		$40.96	$82.49	$109.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $22.88 / $30.00	Professional	26	$11.47	$22.88	$30.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.49 / $58.98 / $77.12	Professional	TC	$29.49	$58.98	$77.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $51.83 / $72.25	Professional		$13.64	$51.83	$72.25
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $100.00 / $100.00	Facility	26	$22.21	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $53.12 / $217.42	Professional		$33.79	$53.12	$217.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $15.26 / $72.64	Professional	26	$10.00	$15.26	$72.64
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.63 / $39.46 / $199.00	Professional	TC	$24.63	$39.46	$199.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $44.45 / $79.14	Professional		$33.20	$44.45	$79.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $13.56 / $23.36	Professional	26	$10.00	$13.56	$23.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.56 / $32.39 / $82.65	Professional	TC	$23.56	$32.39	$82.65