Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.27 / $16.89 / $30.12	Facility	26	$8.27	$16.89	$30.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $42.36 / $79.91	Professional		$29.97	$42.36	$79.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $11.73 / $31.77	Professional	26	$8.27	$11.73	$31.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.69 / $30.42 / $71.81	Professional	TC	$21.69	$30.42	$71.81
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.39 / $29.82 / $100.00	Facility	26	$28.39	$29.82	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $59.92 / $271.52	Professional		$37.15	$59.92	$271.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.36 / $17.85 / $97.41	Professional	26	$10.36	$17.85	$97.41
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.64 / $49.55 / $210.00	Professional	TC	$27.64	$49.55	$210.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.81 / $23.08 / $35.29	Professional	26	$13.81	$23.08	$35.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $66.28 / $134.81	Professional		$40.68	$66.28	$134.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.25 / $18.17 / $35.85	Professional	26	$11.25	$18.17	$35.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.73 / $51.95 / $99.98	Professional	TC	$29.73	$51.95	$99.98
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $44.66 / $79.84	Professional		$15.48	$44.66	$79.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $105.85 / $137.94	Professional		$52.90	$105.85	$137.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $29.42 / $38.57	Professional	26	$14.75	$29.42	$38.57
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 $20.69 / $36.42 / $63.71	Professional		$20.69	$36.42	$63.71
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $28.48 / $100.00 / $100.00	Facility	26	$28.48	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $61.71 / $271.52	Professional		$40.71	$61.71	$271.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $18.94 / $97.41	Professional	26	$10.96	$18.94	$97.41
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.11 / $49.82 / $210.00	Professional	TC	$28.11	$49.82	$210.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $56.96 / $134.71	Professional		$38.63	$56.96	$134.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $16.84 / $29.79	Professional	26	$10.42	$16.84	$29.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.64 / $39.76 / $82.37	Professional	TC	$27.64	$39.76	$82.37