Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.84 / $17.35 / $23.16	Facility	26	$9.84	$17.35	$23.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $40.69 / $98.70	Professional		$30.41	$40.69	$98.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $13.46 / $38.50	Professional	26	$9.85	$13.46	$38.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.56 / $26.62 / $74.51	Professional	TC	$20.56	$26.62	$74.51
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $29.14 / $30.61 / $70.00	Facility	26	$29.14	$30.61	$70.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $59.35 / $273.64	Professional		$39.03	$59.35	$273.64
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.20 / $17.82 / $78.91	Professional	26	$12.20	$17.82	$78.91
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.24 / $42.07 / $194.73	Professional	TC	$27.24	$42.07	$194.73
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.07 / $23.71 / $31.50	Professional	26	$18.07	$23.71	$31.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $66.66 / $135.78	Professional		$43.15	$66.66	$135.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $20.87 / $37.04	Professional	26	$13.11	$20.87	$37.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.54 / $47.32 / $98.96	Professional	TC	$29.54	$47.32	$98.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $45.66 / $81.34	Professional		$15.91	$45.66	$81.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $104.75 / $138.18	Professional		$52.84	$104.75	$138.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $29.93 / $39.64	Professional	26	$15.16	$29.93	$39.64
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $37.68 / $75.36 / $98.54	Professional	TC	$37.68	$75.36	$98.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $42.00 / $99.70	Professional		$18.02	$42.00	$99.70
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $29.34 / $70.00 / $70.00	Facility	26	$29.34	$70.00	$70.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $59.42 / $273.64	Professional		$41.78	$59.42	$273.64
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.32 / $18.09 / $78.91	Professional	26	$13.32	$18.09	$78.91
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.46 / $40.64 / $194.73	Professional	TC	$28.46	$40.64	$194.73
United Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $59.42 / $136.85	Professional		$41.78	$59.42	$136.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $17.48 / $31.51	Professional	26	$12.72	$17.48	$31.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.10 / $39.63 / $90.96	Professional	TC	$28.10	$39.63	$90.96