Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $11.57 / $29.99	Facility	26	$8.08	$11.57	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $43.32 / $79.93	Professional		$30.65	$43.32	$79.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $10.45 / $17.96	Professional	26	$8.08	$10.45	$17.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.62 / $43.37	Professional	TC	$22.57	$31.62	$43.37
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.53 / $28.92 / $103.00	Facility	26	$27.53	$28.92	$103.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $70.20 / $286.68	Professional		$43.24	$70.20	$286.68
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.11 / $17.32 / $107.32	Professional	26	$10.11	$17.32	$107.32
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $53.65 / $267.00	Professional	TC	$31.04	$53.65	$267.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $22.01 / $29.72	Professional	26	$13.38	$22.01	$29.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $71.63 / $142.54	Professional		$45.00	$71.63	$142.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.40 / $17.82 / $34.75	Professional	26	$11.40	$17.82	$34.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.19 / $56.11 / $107.79	Professional	TC	$33.19	$56.11	$107.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $49.14 / $87.55	Professional		$15.04	$49.14	$87.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $110.55 / $145.90	Professional		$54.89	$110.55	$145.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $28.43 / $37.50	Professional	26	$14.34	$28.43	$37.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $80.39 / $106.04	Professional	TC	$40.54	$80.39	$106.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $17.50 / $19.66	Professional		$16.57	$17.50	$19.66
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $103.00 / $103.00	Facility	26	$27.85	$103.00	$103.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $70.84 / $286.68	Professional		$44.50	$70.84	$286.68
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.31 / $18.80 / $107.32	Professional	26	$11.31	$18.80	$107.32
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $33.93 / $55.36 / $267.00	Professional	TC	$33.93	$55.36	$267.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $58.73 / $107.18	Professional		$44.32	$58.73	$107.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.32 / $27.79	Professional	26	$10.72	$16.32	$27.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.97 / $46.56 / $102.06	Professional	TC	$32.97	$46.56	$102.06