Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $10.57 / $29.99	Facility	26	$8.08	$10.57	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $38.02 / $98.52	Professional		$26.87	$38.02	$98.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $11.08 / $32.25	Professional	26	$8.08	$11.08	$32.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $27.73 / $85.47	Professional	TC	$18.78	$27.73	$85.47
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.14 / $26.40 / $100.00	Facility	26	$25.14	$26.40	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $60.56 / $252.05	Professional		$37.56	$60.56	$252.05
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $16.67 / $92.47	Professional	26	$9.84	$16.67	$92.47
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $46.48 / $226.00	Professional	TC	$27.03	$46.48	$226.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.55 / $20.43 / $31.22	Professional	26	$14.55	$20.43	$31.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.38 / $60.88 / $80.91	Professional	TC	$43.38	$60.88	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $61.45 / $125.17	Professional		$39.70	$61.45	$125.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.37 / $17.64 / $31.72	Professional	26	$11.37	$17.64	$31.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.58 / $48.80 / $94.47	Professional	TC	$28.58	$48.80	$94.47
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $42.67 / $76.30	Professional		$13.74	$42.67	$76.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $96.39 / $129.25	Professional		$48.33	$96.39	$129.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $25.99 / $34.28	Professional	26	$13.11	$25.99	$34.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.22 / $70.26 / $92.13	Professional	TC	$35.22	$70.26	$92.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $20.05 / $62.36	Professional		$16.42	$20.05	$62.36
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $25.47 / $100.00 / $100.00	Facility	26	$25.47	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $62.08 / $252.05	Professional		$38.97	$62.08	$252.05
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $17.22 / $92.47	Professional	26	$11.20	$17.22	$92.47
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.36 / $46.48 / $226.00	Professional	TC	$28.36	$46.48	$226.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $54.00 / $93.01	Professional		$38.83	$54.00	$93.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.71 / $14.95 / $32.67	Professional	26	$10.71	$14.95	$32.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.07 / $38.58 / $69.14	Professional	TC	$27.07	$38.58	$69.14