Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $19.05 / $50.12	Facility	26	$10.96	$19.05	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $223.87	Professional		$44.67	$77.62	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $25.12 / $56.23	Professional	26	$12.02	$25.12	$56.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $56.23 / $120.23	Professional	TC	$31.62	$56.23	$120.23
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $109.65 / $109.65	Facility	26	$28.84	$109.65	$109.65
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $331.13	Professional		$43.65	$67.61	$331.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.38 / $120.23	Professional	26	$11.75	$17.38	$120.23
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $51.29 / $295.12	Professional	TC	$33.88	$51.29	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $25.12 / $33.11	Professional	26	$14.45	$25.12	$33.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $81.28 / $114.82	Professional	TC	$50.12	$81.28	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $147.91	Professional		$44.67	$77.62	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $21.38 / $38.90	Professional	26	$12.02	$21.38	$38.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $60.26 / $114.82	Professional	TC	$33.88	$60.26	$114.82
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $63.10 / $114.82	Professional		$16.98	$63.10	$114.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $165.96	Professional		$54.95	$85.11	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $19.95 / $34.67	Professional	26	$13.49	$19.95	$34.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $61.66 / $117.49	Professional	TC	$41.69	$61.66	$117.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $104.71	Professional		$18.62	$28.84	$104.71
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $109.65 / $109.65	Facility	26	$28.84	$109.65	$109.65
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $331.13	Professional		$43.65	$67.61	$331.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $17.38 / $120.23	Professional	26	$12.02	$17.38	$120.23
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $51.29 / $295.12	Professional	TC	$34.67	$51.29	$295.12
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $102.33	Professional		$44.67	$58.88	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $151.36	Professional		$48.98	$67.61	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.38 / $34.67	Professional	26	$13.18	$17.38	$34.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $51.29 / $112.20	Professional	TC	$35.48	$51.29	$112.20