Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $15.85 / $43.65	Facility	26	$7.94	$15.85	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $208.93	Professional		$33.11	$56.23	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $17.38 / $38.90	Professional	26	$8.91	$17.38	$38.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $102.33	Professional	TC	$22.91	$37.15	$102.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $100.00 / $100.00	Facility	26	$25.12	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $263.03	Professional		$36.31	$56.23	$263.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.14 / $117.49	Professional	26	$9.33	$15.14	$117.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $42.66 / $208.93	Professional	TC	$27.54	$42.66	$208.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $20.89 / $28.18	Professional	26	$12.30	$20.89	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $123.03	Professional		$34.67	$64.57	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.60 / $31.62	Professional	26	$9.55	$16.60	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $48.98 / $93.33	Professional	TC	$26.30	$48.98	$93.33
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $48.98 / $95.50	Professional		$14.45	$48.98	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $131.83	Professional		$43.65	$69.18	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $28.84	Professional	26	$10.96	$16.22	$28.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $47.86 / $89.13	Professional	TC	$32.36	$47.86	$89.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $66.07	Professional		$15.49	$18.62	$66.07
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $100.00 / $100.00	Facility	26	$25.12	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $263.03	Professional		$37.15	$56.23	$263.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $117.49	Professional	26	$9.55	$15.14	$117.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $42.66 / $208.93	Professional	TC	$28.18	$42.66	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $117.49	Professional		$40.74	$56.23	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $29.51	Professional	26	$10.72	$15.14	$29.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $41.69 / $87.10	Professional	TC	$30.20	$41.69	$87.10