Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.69 / $18.29 / $24.43	Facility	26	$11.69	$18.29	$24.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $53.88 / $167.96	Professional		$34.84	$53.88	$167.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $16.20 / $45.55	Professional	26	$11.69	$16.20	$45.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.15 / $38.60 / $122.41	Professional	TC	$23.15	$38.60	$122.41
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.78 / $32.33 / $110.00	Facility	26	$30.78	$32.33	$110.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $78.33 / $343.08	Professional		$48.12	$78.33	$343.08
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $20.48 / $113.92	Professional	26	$13.05	$20.48	$113.92
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $36.89 / $65.90 / $259.85	Professional	TC	$36.89	$65.90	$259.85
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.37 / $25.02 / $38.25	Professional	26	$17.37	$25.02	$38.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.41 / $87.62 / $115.81	Professional	TC	$66.41	$87.62	$115.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $83.92 / $170.94	Professional		$53.54	$83.92	$170.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.02 / $23.71 / $40.72	Professional	26	$14.02	$23.71	$40.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.45 / $64.83 / $133.04	Professional	TC	$39.45	$64.83	$133.04
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $60.82 / $105.36	Professional		$16.78	$60.82	$105.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $133.65 / $176.38	Professional		$66.36	$133.65	$176.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $31.66 / $41.76	Professional	26	$15.97	$31.66	$41.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $50.38 / $101.47 / $131.75	Professional	TC	$50.38	$101.47	$131.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $39.22 / $114.21	Professional		$18.51	$39.22	$114.21
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $30.85 / $110.00 / $110.00	Facility	26	$30.85	$110.00	$110.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $79.79 / $343.08	Professional		$50.80	$79.79	$343.08
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $22.51 / $113.92	Professional	26	$13.79	$22.51	$113.92
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $37.13 / $66.27 / $259.85	Professional	TC	$37.13	$66.27	$259.85
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $57.19 / $100.00	Professional		$44.35	$57.19	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $70.67 / $125.12	Professional		$50.68	$70.67	$125.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.79 / $18.26 / $35.70	Professional	26	$13.79	$18.26	$35.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.89 / $53.02 / $111.19	Professional	TC	$36.89	$53.02	$111.19