Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $15.02 / $18.51	Facility	26	$8.68	$15.02	$18.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $46.61 / $74.03	Professional		$31.54	$46.61	$74.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.68 / $11.06 / $30.91	Professional	26	$8.68	$11.06	$30.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.86 / $33.40 / $56.30	Professional	TC	$22.86	$33.40	$56.30
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $26.50 / $100.00	Facility	26	$25.22	$26.50	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $64.31 / $264.31	Professional		$39.68	$64.31	$264.31
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $16.17 / $117.24	Professional	26	$9.82	$16.17	$117.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.51 / $49.30 / $207.78	Professional	TC	$28.51	$49.30	$207.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $20.62 / $31.35	Professional	26	$15.62	$20.62	$31.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $75.53 / $130.82	Professional		$41.62	$75.53	$130.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.34 / $18.39 / $31.87	Professional	26	$11.34	$18.39	$31.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.77 / $57.14 / $98.96	Professional	TC	$34.77	$57.14	$98.96
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $44.66 / $79.84	Professional		$13.75	$44.66	$79.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $99.06 / $132.52	Professional		$49.97	$99.06	$132.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.11 / $26.15 / $34.28	Professional	26	$13.11	$26.15	$34.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $73.51 / $96.39	Professional	TC	$36.86	$73.51	$96.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $18.70 / $65.55	Professional		$15.58	$18.70	$65.55
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $25.22 / $100.00 / $100.00	Facility	26	$25.22	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $65.72 / $264.31	Professional		$42.64	$65.72	$264.31
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $18.12 / $117.24	Professional	26	$11.20	$18.12	$117.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $31.16 / $50.84 / $207.78	Professional	TC	$31.16	$50.84	$207.78
United Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $55.62 / $134.76	Professional		$40.52	$55.62	$134.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.11 / $33.00	Professional	26	$10.72	$15.11	$33.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.48 / $40.64 / $76.94	Professional	TC	$28.48	$40.64	$76.94