Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $16.22 / $36.31	Facility	26	$7.94	$16.22	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $41.69 / $173.78	Professional		$23.99	$41.69	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.80 / $38.02	Professional	26	$7.94	$13.80	$38.02
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $53.70 / $93.33	Professional	52	$30.20	$53.70	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $28.18 / $93.33	Professional	TC	$15.85	$28.18	$93.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $100.00 / $100.00	Facility	26	$21.38	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $213.80	Professional		$25.70	$43.65	$213.80
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.59 / $79.43	Professional	26	$8.32	$12.59	$79.43
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $204.17	Professional	TC	$20.42	$31.62	$204.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.78 / $23.44	Professional	26	$10.47	$17.78	$23.44
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $5.25 / $15.14 / $40.74	Professional	52	$5.25	$15.14	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $97.72	Professional		$28.84	$50.12	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.79 / $27.54	Professional	26	$8.71	$14.79	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $37.15 / $70.79	Professional	TC	$19.95	$37.15	$70.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.11 / $69.18	Professional		$12.59	$33.11	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $95.50	Professional		$30.90	$47.86	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.49 / $24.55	Professional	26	$9.55	$13.49	$24.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $58.88	Professional	TC	$21.88	$32.36	$58.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $46.77	Professional		$16.98	$28.18	$46.77
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.38 / $100.00 / $100.00	Facility	26	$21.38	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $213.80	Professional		$25.70	$43.65	$213.80
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.59 / $79.43	Professional	26	$8.32	$12.59	$79.43
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $31.62 / $204.17	Professional	TC	$20.42	$31.62	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $91.20	Professional		$31.62	$43.65	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $25.70	Professional	26	$9.33	$12.59	$25.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $58.88	Professional	TC	$21.88	$31.62	$58.88