Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.39 / $12.39 / $45.49	Facility	26	$12.39	$12.39	$45.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $69.00 / $152.31	Professional		$49.22	$69.00	$152.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.39 / $17.26 / $47.00	Professional	26	$12.39	$17.26	$47.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.83 / $51.21 / $87.82	Professional	TC	$36.83	$51.21	$87.82
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $34.43 / $36.31 / $126.00	Facility	26	$34.43	$36.31	$126.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $59.77 / $97.22 / $399.42	Professional		$59.77	$97.22	$399.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $15.06 / $23.07 / $151.90	Professional	26	$15.06	$23.07	$151.90
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.71 / $77.33 / $307.58	Professional	TC	$44.71	$77.33	$307.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $14.06 / $21.49	Professional		$8.41	$14.06	$21.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.51 / $28.12 / $37.36	Professional	26	$19.51	$28.12	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $110.73 / $199.20	Professional		$63.34	$110.73	$199.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.84 / $26.54 / $43.69	Professional	26	$15.84	$26.54	$43.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.01 / $86.72 / $156.33	Professional	TC	$51.01	$86.72	$156.33
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $69.02 / $122.21	Professional		$18.85	$69.02	$122.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $151.80 / $199.85	Professional		$75.37	$151.80	$199.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $35.94 / $47.12	Professional	26	$18.02	$35.94	$47.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $57.34 / $115.48 / $149.94	Professional	TC	$57.34	$115.48	$149.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $43.90 / $95.46	Professional		$23.15	$43.90	$95.46
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $34.43 / $126.00 / $126.00	Facility	26	$34.43	$126.00	$126.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $97.54 / $399.42	Professional		$62.91	$97.54	$399.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $24.83 / $151.90	Professional	26	$15.52	$24.83	$151.90
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $45.74 / $80.20 / $307.58	Professional	TC	$45.74	$80.20	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $83.98 / $144.63	Professional		$60.27	$83.98	$144.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.43 / $20.71 / $45.36	Professional	26	$15.43	$20.71	$45.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $63.85 / $159.88	Professional	TC	$44.75	$63.85	$159.88