Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $15.49 / $41.69	Facility	26	$7.94	$15.49	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $199.53	Professional		$29.51	$42.66	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $33.11	Professional	26	$7.94	$10.96	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $91.20	Professional	TC	$19.95	$30.20	$91.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $100.00 / $100.00	Facility	26	$24.55	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $269.15	Professional		$33.11	$56.23	$269.15
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $15.14 / $85.11	Professional	26	$9.12	$15.14	$85.11
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $40.74 / $245.47	Professional	TC	$26.30	$40.74	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $20.42 / $26.92	Professional	26	$11.75	$20.42	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $112.20	Professional		$32.36	$60.26	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.22 / $30.90	Professional	26	$9.55	$16.22	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $46.77 / $89.13	Professional	TC	$25.12	$46.77	$89.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $48.98 / $87.10	Professional		$13.80	$48.98	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $125.89	Professional		$42.66	$66.07	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.85 / $28.84	Professional	26	$10.72	$15.85	$28.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $46.77 / $87.10	Professional	TC	$31.62	$46.77	$87.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $100.00 / $100.00	Facility	26	$24.55	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $269.15	Professional		$33.88	$56.23	$269.15
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $85.11	Professional	26	$9.55	$15.14	$85.11
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $40.74 / $245.47	Professional	TC	$26.30	$40.74	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $117.49	Professional		$38.90	$56.23	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $15.14 / $28.84	Professional	26	$10.47	$15.14	$28.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $40.74 / $85.11	Professional	TC	$28.84	$40.74	$85.11