Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $12.59 / $42.66	Facility	26	$7.08	$12.59	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $186.21	Professional		$31.62	$56.23	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $19.05 / $35.48	Professional	26	$8.71	$19.05	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $33.88 / $109.65	Professional	TC	$20.89	$33.88	$109.65
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 $30.90 / $51.29 / $251.19	Professional		$30.90	$51.29	$251.19
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.79 / $97.72	Professional	26	$8.51	$14.79	$97.72
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.02 / $181.97	Professional	TC	$23.99	$38.02	$181.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $20.89 / $28.18	Professional	26	$12.30	$20.89	$28.18
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $61.66 / $83.18	Professional	TC	$36.31	$61.66	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $107.15	Professional		$30.90	$56.23	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $15.49 / $30.90	Professional	26	$8.51	$15.49	$30.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $43.65 / $83.18	Professional	TC	$23.44	$43.65	$83.18
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $44.67 / $81.28	Professional		$13.80	$44.67	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $120.23	Professional		$46.77	$70.79	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.85 / $28.18	Professional	26	$10.72	$15.85	$28.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $42.66 / $81.28	Professional	TC	$28.84	$42.66	$81.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $83.18	Professional		$15.49	$19.95	$83.18
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 $30.90 / $51.29 / $251.19	Professional		$30.90	$51.29	$251.19
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.79 / $97.72	Professional	26	$8.71	$14.79	$97.72
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $38.02 / $181.97	Professional	TC	$24.55	$38.02	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $109.65	Professional		$34.67	$51.29	$109.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $14.79 / $28.18	Professional	26	$9.77	$14.79	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $77.62	Professional	TC	$25.70	$38.02	$77.62