Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.69 / $13.70 / $50.31	Facility	26	$13.69	$13.70	$50.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $62.70 / $145.05	Professional		$43.84	$62.70	$145.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $17.14 / $53.79	Professional	26	$13.70	$17.14	$53.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.14 / $44.99 / $89.71	Professional	TC	$30.14	$44.99	$89.71
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.72 / $35.42 / $126.00	Facility	26	$33.72	$35.42	$126.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $94.47 / $399.42	Professional		$58.83	$94.47	$399.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.06 / $23.07 / $137.04	Professional	26	$15.06	$23.07	$137.04
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.71 / $78.43 / $356.00	Professional	TC	$44.71	$78.43	$356.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $8.19	Professional		$8.19	$8.19	$8.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.37 / $27.41 / $41.91	Professional	26	$18.37	$27.41	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $103.78 / $200.12	Professional		$62.36	$103.78	$200.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.81 / $26.95 / $46.58	Professional	26	$15.81	$26.95	$46.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.85 / $79.08 / $158.38	Professional	TC	$47.85	$79.08	$158.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $70.47 / $123.59	Professional		$18.41	$70.47	$123.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $153.44 / $202.51	Professional		$76.19	$153.44	$202.51
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $35.11 / $46.05	Professional	26	$17.61	$35.11	$46.05
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $58.57 / $116.81 / $153.16	Professional	TC	$58.57	$116.81	$153.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $40.92 / $101.01	Professional		$23.10	$40.92	$101.01
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $33.82 / $126.00 / $126.00	Facility	26	$33.82	$126.00	$126.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $96.49 / $399.42	Professional		$62.81	$96.49	$399.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $24.83 / $137.04	Professional	26	$15.52	$24.83	$137.04
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $78.89 / $356.00	Professional	TC	$44.75	$78.89	$356.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $83.98 / $148.58	Professional		$60.27	$83.98	$148.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.43 / $20.13 / $46.96	Professional	26	$15.43	$20.13	$46.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.71 / $63.85 / $115.36	Professional	TC	$44.71	$63.85	$115.36