Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $12.88 / $50.12	Facility	26	$8.91	$12.88	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $204.17	Professional		$33.11	$56.23	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $23.99 / $70.79	Professional	26	$10.00	$23.99	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.90 / $123.03	Professional	TC	$20.42	$30.90	$123.03
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $30.90 / $79.43	Facility	26	$13.80	$30.90	$79.43
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $154.88	Professional		$36.31	$53.70	$154.88
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $16.60 / $79.43	Professional	26	$10.72	$16.60	$79.43
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $194.98	Professional	TC	$25.70	$38.02	$194.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $23.99 / $32.36	Professional	26	$14.13	$23.99	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $117.49	Professional		$34.67	$63.10	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $18.62 / $37.15	Professional	26	$11.48	$18.62	$37.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $44.67 / $87.10	Professional	TC	$23.99	$44.67	$87.10
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $48.98 / $87.10	Professional		$16.98	$48.98	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $141.25	Professional		$45.71	$89.13	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.50 / $34.67	Professional	26	$13.18	$19.50	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $46.77 / $91.20	Professional	TC	$32.36	$46.77	$91.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $67.61 / $102.33	Professional		$17.78	$67.61	$102.33
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $30.90 / $79.43	Facility	26	$13.80	$30.90	$79.43
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $275.42	Professional		$36.31	$54.95	$275.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.60 / $79.43	Professional	26	$11.22	$16.60	$79.43
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $194.98	Professional	TC	$25.70	$38.02	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $125.89	Professional		$40.74	$58.88	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.78 / $34.67	Professional	26	$12.59	$17.78	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $87.10	Professional	TC	$28.18	$39.81	$87.10