Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.52 / $6.52 / $24.23	Facility	26	$6.52	$6.52	$24.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $30.13 / $83.88	Professional		$22.10	$30.13	$83.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $8.25 / $25.98	Professional	26	$6.52	$8.25	$25.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.58 / $22.05 / $47.48	Professional	TC	$15.58	$22.05	$47.48
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $19.78 / $100.00	Facility	26	$18.82	$19.78	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $46.52 / $210.99	Professional		$29.06	$46.52	$210.99
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.87 / $82.56	Professional	26	$7.88	$12.87	$82.56
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.29 / $41.03 / $159.97	Professional	TC	$22.29	$41.03	$159.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.57 / $15.74 / $21.26	Professional	26	$9.57	$15.74	$21.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $51.58 / $105.05	Professional		$32.04	$51.58	$105.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $13.71 / $23.98	Professional	26	$8.89	$13.71	$23.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $39.92 / $82.35	Professional	TC	$23.23	$39.92	$82.35
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $37.70 / $65.55	Professional		$10.73	$37.70	$65.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $82.51 / $109.96	Professional		$41.37	$82.51	$109.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $20.21 / $26.78	Professional	26	$10.24	$20.21	$26.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.13 / $62.70 / $81.41	Professional	TC	$31.13	$62.70	$81.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $15.68 / $53.73	Professional		$11.37	$15.68	$53.73
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.60 / $100.00 / $100.00	Facility	26	$19.60	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $48.41 / $210.99	Professional		$31.84	$48.41	$210.99
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.63 / $13.15 / $82.56	Professional	26	$8.63	$13.15	$82.56
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.42 / $41.03 / $159.97	Professional	TC	$23.42	$41.03	$159.97
United Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $43.78 / $79.81	Professional		$30.43	$43.78	$79.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.20 / $20.75	Professional	26	$8.46	$11.20	$20.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $32.03 / $60.38	Professional	TC	$22.74	$32.03	$60.38