Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.96 / $12.23 / $16.27	Facility	26	$6.96	$12.23	$16.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.41 / $69.19	Professional		$20.00	$27.41	$69.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $9.10 / $23.85	Professional	26	$6.95	$9.10	$23.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $19.46 / $31.86	Professional	TC	$13.99	$19.46	$31.86
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $20.23 / $21.57 / $100.00	Facility	26	$20.23	$21.57	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.40 / $203.00	Professional		$25.00	$39.40	$203.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $13.13 / $84.21	Professional	26	$7.88	$13.13	$84.21
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $17.69 / $27.49 / $165.00	Professional	TC	$17.69	$27.49	$165.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.72 / $25.55	Professional	26	$10.00	$16.72	$25.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $45.67 / $83.81	Professional		$24.82	$45.67	$83.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $14.45 / $25.95	Professional	26	$9.11	$14.45	$25.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $33.24 / $59.74	Professional	TC	$18.66	$33.24	$59.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $23.91 / $44.96	Professional		$11.18	$23.91	$44.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $55.94 / $78.38	Professional		$25.07	$55.94	$78.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $21.45 / $27.85	Professional	26	$10.65	$21.45	$27.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $18.84 / $37.94 / $49.27	Professional	TC	$18.84	$37.94	$49.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $24.91 / $43.53	Professional		$13.34	$24.91	$43.53
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.23 / $100.00 / $100.00	Facility	26	$20.23	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $43.00 / $203.00	Professional		$28.15	$43.00	$203.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $14.42 / $84.21	Professional	26	$8.85	$14.42	$84.21
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $18.77 / $30.03 / $165.00	Professional	TC	$18.77	$30.03	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $36.60 / $67.03	Professional		$27.84	$36.60	$67.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.86 / $21.57	Professional	26	$8.46	$11.86	$21.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.73 / $24.79 / $46.92	Professional	TC	$18.73	$24.79	$46.92