Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.00 / $21.16 / $44.55	Facility	26	$12.00	$21.16	$44.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $66.58 / $175.99	Professional		$49.46	$66.58	$175.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.00 / $17.93 / $46.90	Professional	26	$12.00	$17.93	$46.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.46 / $48.74 / $133.58	Professional	TC	$37.46	$48.74	$133.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $37.11 / $73.77	Facility	26	$35.32	$37.11	$73.77
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $97.78 / $453.03	Professional		$64.43	$97.78	$453.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.81 / $21.58 / $95.54	Professional	26	$14.81	$21.58	$95.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $49.76 / $76.84 / $357.49	Professional	TC	$49.76	$76.84	$357.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.90 / $28.89 / $43.92	Professional	26	$21.90	$28.89	$43.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $89.68 / $118.31 / $198.99	Professional	TC	$89.68	$118.31	$198.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $111.10 / $227.20	Professional		$70.58	$111.10	$227.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $25.28 / $44.61	Professional	26	$16.05	$25.28	$44.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.53 / $86.42 / $181.70	Professional	TC	$54.53	$86.42	$181.70
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $81.83 / $137.53	Professional		$19.28	$81.83	$137.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $174.07 / $229.18	Professional		$86.43	$174.07	$229.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $36.76 / $48.20	Professional	26	$18.43	$36.76	$48.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $67.98 / $136.93 / $177.80	Professional	TC	$67.98	$136.93	$177.80
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $47.41 / $120.70	Professional		$21.92	$47.41	$120.70
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $73.77 / $73.77	Facility	26	$35.32	$73.77	$73.77
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $96.20 / $453.03	Professional		$68.02	$96.20	$453.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $21.94 / $95.54	Professional	26	$16.09	$21.94	$95.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $51.93 / $74.17 / $357.49	Professional	TC	$51.93	$74.17	$357.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $95.68 / $177.76	Professional		$67.13	$95.68	$177.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $21.51 / $45.99	Professional	26	$16.09	$21.51	$45.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.18 / $72.17 / $142.66	Professional	TC	$51.18	$72.17	$142.66