Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.72 / $10.80 / $21.27	Facility	26	$5.72	$10.80	$21.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $23.94 / $48.91	Professional		$16.93	$23.94	$48.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.72 / $7.65 / $22.63	Professional	26	$5.72	$7.65	$22.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $16.35 / $33.63	Professional	TC	$11.22	$16.35	$33.63
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $18.95 / $100.00	Facility	26	$18.04	$18.95	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $36.40 / $542.00	Professional		$22.54	$36.40	$542.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.93 / $11.62 / $62.74	Professional	26	$6.93	$11.62	$62.74
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $26.96 / $498.00	Professional	TC	$16.11	$26.96	$498.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.77 / $14.44 / $22.43	Professional	26	$8.77	$14.44	$22.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.17 / $34.65 / $117.46	Professional	TC	$25.17	$34.65	$117.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $38.10 / $77.61	Professional		$24.27	$38.10	$77.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $12.62 / $22.78	Professional	26	$7.90	$12.62	$22.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.20 / $27.97 / $55.90	Professional	TC	$17.20	$27.97	$55.90
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $25.04 / $45.60	Professional		$9.85	$25.04	$45.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $59.27 / $79.47	Professional		$29.90	$59.27	$79.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $18.67 / $24.63	Professional	26	$9.42	$18.67	$24.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $20.48 / $41.25 / $53.56	Professional	TC	$20.48	$41.25	$53.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $14.59 / $27.45	Professional		$11.20	$14.59	$27.45
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $37.59 / $542.00	Professional		$24.24	$37.59	$542.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.84 / $12.39 / $62.74	Professional	26	$7.84	$12.39	$62.74
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $26.96 / $498.00	Professional	TC	$16.23	$26.96	$498.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $32.42 / $58.26	Professional		$24.06	$32.42	$58.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $10.50 / $19.07	Professional	26	$6.87	$10.50	$19.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.20 / $22.74 / $40.89	Professional	TC	$16.20	$22.74	$40.89