Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.87 / $10.34 / $12.68	Facility	26	$5.87	$10.34	$12.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $12.09 / $36.29 / $148.55	Facility	TC	$12.09	$36.29	$148.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $23.58 / $60.35	Professional		$17.96	$23.58	$60.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.87 / $7.58 / $22.63	Professional	26	$5.87	$7.58	$22.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $119.26 / $128.16 / $274.12	Professional	50	$119.26	$128.16	$274.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.09 / $16.42 / $47.81	Professional	TC	$12.09	$16.42	$47.81
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $18.16 / $100.00	Facility	26	$17.23	$18.16	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $30.15 / $37.93 / $100.00	Facility	TC	$30.15	$37.93	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $33.95 / $172.00	Professional		$21.37	$33.95	$172.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.87 / $11.17 / $72.64	Professional	26	$6.87	$11.17	$72.64
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $13.71 / $23.49 / $148.00	Professional	TC	$13.71	$23.49	$148.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $6.93 / $9.35	Professional		$4.21	$6.93	$9.35
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $14.06 / $21.49	Professional	26	$8.41	$14.06	$21.49
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $21.05 / $21.05 / $21.05	Facility	TC	$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $38.70 / $68.89	Professional		$22.09	$38.70	$68.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.85 / $12.50 / $22.12	Professional	26	$7.85	$12.50	$22.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.87 / $26.82 / $47.08	Professional	TC	$16.87	$26.82	$47.08
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $22.11 / $40.54	Professional		$9.43	$22.11	$40.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $49.17 / $70.59	Professional		$17.61	$49.17	$70.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.01 / $17.79 / $23.56	Professional	26	$9.01	$17.79	$23.56
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $17.61 / $35.47 / $46.05	Professional	TC	$17.61	$35.47	$46.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $13.52 / $34.20	Professional		$10.71	$13.52	$34.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $17.23 / $100.00 / $100.00	Facility	26	$17.23	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $30.15 / $100.00 / $100.00	Facility	TC	$30.15	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $34.64 / $172.00	Professional		$22.83	$34.64	$172.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.52 / $11.87 / $72.64	Professional	26	$7.52	$11.87	$72.64
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $14.95 / $24.28 / $148.00	Professional	TC	$14.95	$24.28	$148.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $29.77 / $52.68	Professional		$22.52	$29.77	$52.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $10.27 / $22.50	Professional	26	$7.28	$10.27	$22.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.14 / $20.30 / $48.55	Professional	TC	$14.14	$20.30	$48.55