Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.42 / $11.28 / $14.98	Facility	26	$6.42	$11.28	$14.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $29.10 / $87.02	Professional		$18.12	$29.10	$87.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $9.53 / $26.00	Professional	26	$6.42	$9.53	$26.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.10 / $86.52 / $105.04	Professional	50	$35.10	$86.52	$105.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $21.63 / $67.90	Professional	TC	$15.29	$21.63	$67.90
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $19.84 / $100.00	Facility	26	$18.72	$19.84	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $45.62 / $206.66	Professional		$28.35	$45.62	$206.66
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $12.12 / $79.26	Professional	26	$7.17	$12.12	$79.26
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $39.75 / $161.00	Professional	TC	$21.79	$39.75	$161.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $15.40 / $20.46	Professional	26	$10.68	$15.40	$20.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.28 / $53.69 / $88.54	Professional	TC	$42.28	$53.69	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $50.56 / $102.99	Professional		$31.54	$50.56	$102.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $13.19 / $23.89	Professional	26	$8.28	$13.19	$23.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.23 / $38.83 / $80.14	Professional	TC	$23.23	$38.83	$80.14
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $36.70 / $63.64	Professional		$10.30	$36.70	$63.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $80.84 / $106.69	Professional		$40.14	$80.84	$106.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $19.39 / $25.71	Professional	26	$9.83	$19.39	$25.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.31 / $61.04 / $79.26	Professional	TC	$30.31	$61.04	$79.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $25.16 / $99.62	Professional		$12.58	$25.16	$99.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $100.00 / $100.00	Facility	26	$18.72	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $46.59 / $206.66	Professional		$30.21	$46.59	$206.66
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.22 / $12.95 / $79.26	Professional	26	$8.22	$12.95	$79.26
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.05 / $39.92 / $161.00	Professional	TC	$23.05	$39.92	$161.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.88 / $66.79	Professional		$25.21	$34.88	$66.79
United Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $42.31 / $76.04	Professional		$29.67	$42.31	$76.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $11.23 / $19.87	Professional	26	$8.02	$11.23	$19.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.79 / $31.91 / $58.76	Professional	TC	$21.79	$31.91	$58.76