Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $13.49 / $35.48	Facility	26	$6.03	$13.49	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $151.36	Professional		$19.50	$33.11	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.22 / $39.81	Professional	26	$7.08	$16.22	$39.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.88 / $60.26 / $128.82	Professional	50	$58.88	$60.26	$128.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $20.89 / $67.61	Professional	TC	$12.02	$20.89	$67.61
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $100.00 / $100.00	Facility	26	$20.42	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $36.31 / $204.17	Professional		$21.38	$36.31	$204.17
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $12.30 / $85.11	Professional	26	$7.59	$12.30	$85.11
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.70 / $165.96	Professional	TC	$16.22	$25.70	$165.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $22.91	Professional	26	$10.00	$16.98	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $77.62	Professional		$22.91	$42.66	$77.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.49 / $25.70	Professional	26	$7.59	$13.49	$25.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $28.18 / $56.23	Professional	TC	$15.49	$28.18	$56.23
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $53.70	Professional		$12.02	$25.70	$53.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $77.62	Professional		$19.05	$33.88	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $25.70	Professional	26	$9.33	$12.59	$25.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $44.67	Professional	TC	$19.50	$26.92	$44.67
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $50.12	Professional		$13.49	$24.55	$50.12
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $100.00 / $100.00	Facility	26	$20.42	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $204.17	Professional		$22.91	$36.31	$204.17
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.30 / $85.11	Professional	26	$7.76	$12.30	$85.11
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.70 / $165.96	Professional	TC	$16.22	$25.70	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $75.86	Professional		$27.54	$38.02	$75.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.30 / $24.55	Professional	26	$8.51	$12.30	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $45.71	Professional	TC	$18.62	$25.70	$45.71