Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.85 / $17.82 / $23.82	Facility	26	$11.85	$17.82	$23.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $56.48 / $171.31	Professional		$38.20	$56.48	$171.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $15.51 / $45.27	Professional	26	$11.85	$15.51	$45.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.35 / $40.97 / $126.58	Professional	TC	$26.35	$40.97	$126.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $29.14 / $30.61 / $110.00	Facility	26	$29.14	$30.61	$110.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $78.40 / $330.09	Professional		$48.21	$78.40	$330.09
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.91 / $19.93 / $120.54	Professional	26	$12.91	$19.93	$120.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.69 / $63.83 / $292.00	Professional	TC	$35.69	$63.83	$292.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.94 / $24.41 / $37.31	Professional	26	$16.94	$24.41	$37.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.71 / $85.72 / $127.79	Professional	TC	$63.71	$85.72	$127.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $85.45 / $164.46	Professional		$52.24	$85.45	$164.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.61 / $23.31 / $40.28	Professional	26	$13.61	$23.31	$40.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.24 / $66.25 / $128.63	Professional	TC	$39.24	$66.25	$128.63
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $58.57 / $103.66	Professional		$16.37	$58.57	$103.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $128.69 / $169.85	Professional		$63.90	$128.69	$169.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.56 / $31.03 / $40.69	Professional	26	$15.56	$31.03	$40.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $48.33 / $96.39 / $126.39	Professional	TC	$48.33	$96.39	$126.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $37.36 / $105.40	Professional		$18.02	$37.36	$105.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $29.97 / $110.00 / $110.00	Facility	26	$29.97	$110.00	$110.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $79.52 / $330.09	Professional		$51.21	$79.52	$330.09
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $21.36 / $120.54	Professional	26	$13.35	$21.36	$120.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $35.86 / $64.06 / $292.00	Professional	TC	$35.86	$64.06	$292.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $55.81 / $76.79	Professional		$44.56	$55.81	$76.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $66.18 / $120.77	Professional		$48.88	$66.18	$120.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.95 / $17.30 / $37.92	Professional	26	$12.95	$17.30	$37.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.69 / $50.96 / $94.64	Professional	TC	$35.69	$50.96	$94.64