Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $14.08 / $29.99	Facility	26	$8.68	$14.08	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $36.67 / $98.19	Professional		$26.01	$36.67	$98.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $11.11 / $32.79	Professional	26	$8.68	$11.11	$32.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $24.87 / $72.08	Professional	TC	$17.32	$24.87	$72.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.59 / $24.78 / $100.00	Facility	26	$23.59	$24.78	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $54.62 / $223.92	Professional		$34.27	$54.62	$223.92
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $15.86 / $92.47	Professional	26	$9.82	$15.86	$92.47
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $40.36 / $211.00	Professional	TC	$23.46	$40.36	$211.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.67 / $18.88 / $25.50	Professional	26	$13.67	$18.88	$25.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.32 / $45.07 / $88.54	Professional	TC	$31.32	$45.07	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $58.23 / $111.11	Professional		$35.06	$58.23	$111.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.66 / $17.34 / $30.58	Professional	26	$10.66	$17.34	$30.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.41 / $41.47 / $81.31	Professional	TC	$25.41	$41.47	$81.31
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $36.70 / $65.62	Professional		$12.88	$36.70	$65.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $84.96 / $113.23	Professional		$42.60	$84.96	$113.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $24.51 / $32.14	Professional	26	$12.29	$24.51	$32.14
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.31 / $60.45 / $79.26	Professional	TC	$30.31	$60.45	$79.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $20.89 / $54.50	Professional		$9.91	$20.89	$54.50
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $23.72 / $100.00 / $100.00	Facility	26	$23.72	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $55.44 / $223.92	Professional		$35.17	$55.44	$223.92
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $10.85 / $17.89 / $92.47	Professional	26	$10.85	$17.89	$92.47
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.42 / $40.47 / $211.00	Professional	TC	$25.42	$40.47	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $47.94 / $91.35	Professional		$34.65	$47.94	$91.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.41 / $14.16 / $25.28	Professional	26	$10.41	$14.16	$25.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $33.42 / $62.99	Professional	TC	$24.92	$33.42	$62.99