Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.02 / $23.91 / $48.30	Facility	26	$13.02	$23.91	$48.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $69.63 / $182.61	Professional		$53.69	$69.63	$182.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $17.34 / $51.10	Professional	26	$13.02	$17.34	$51.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.67 / $49.52 / $93.15	Professional	TC	$40.67	$49.52	$93.15
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.34 / $42.37 / $84.60	Facility	26	$40.34	$42.37	$84.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $111.41 / $507.76	Professional		$71.92	$111.41	$507.76
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.18 / $24.40 / $109.02	Professional	26	$16.18	$24.40	$109.02
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $55.55 / $87.57 / $398.67	Professional	TC	$55.55	$87.57	$398.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.63 / $32.81 / $50.16	Professional	26	$19.63	$32.81	$50.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $124.53 / $253.65	Professional		$79.90	$124.53	$253.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.97 / $28.36 / $50.99	Professional	26	$17.97	$28.36	$50.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.64 / $99.50 / $202.66	Professional	TC	$60.64	$99.50	$202.66
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $93.05 / $154.93	Professional		$22.00	$93.05	$154.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $197.98 / $259.58	Professional		$98.30	$197.98	$259.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $41.66 / $54.63	Professional	26	$20.89	$41.66	$54.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $91.34 / $159.21 / $202.43	Professional	TC	$91.34	$159.21	$202.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $138.55 / $141.94	Professional		$138.55	$138.55	$141.94
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $40.36 / $84.60 / $84.60	Facility	26	$40.36	$84.60	$84.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $111.41 / $507.76	Professional		$75.20	$111.41	$507.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $25.05 / $109.02	Professional	26	$18.02	$25.05	$109.02
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $59.80 / $87.07 / $398.67	Professional	TC	$59.80	$87.07	$398.67
United Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $106.41 / $191.88	Professional		$72.01	$106.41	$191.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $24.34 / $45.91	Professional	26	$17.82	$24.34	$45.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.31 / $82.25 / $171.46	Professional	TC	$59.31	$82.25	$171.46