Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.21 / $9.42 / $19.38	Facility	26	$5.21	$9.42	$19.38
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $45.35 / $103.51 / $368.38	Facility	TC	$45.35	$103.51	$368.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $34.14 / $88.40	Professional		$18.69	$34.14	$88.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.21 / $8.46 / $27.27	Professional	26	$5.21	$8.46	$27.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.64 / $108.00 / $186.06	Professional	50	$48.64	$108.00	$186.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.24 / $17.67 / $33.75	Professional	52	$12.24	$17.67	$33.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $27.65 / $70.48	Professional	TC	$19.37	$27.65	$70.48
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $16.53 / $100.00	Facility	26	$15.48	$16.53	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $67.18 / $83.19 / $173.52	Facility	TC	$67.18	$83.19	$173.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $52.90 / $241.48	Professional		$27.92	$52.90	$241.48
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $5.97 / $10.11 / $51.19	Professional	26	$5.97	$10.11	$51.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.92 / $49.83 / $199.06	Professional	TC	$24.92	$49.83	$199.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $6.32 / $8.52	Professional		$3.84	$6.32	$8.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.96 / $19.60	Professional	26	$9.77	$12.96	$19.60
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $28.54 / $40.06 / $61.22	Professional	52	$28.54	$40.06	$61.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.27 / $68.98 / $102.82	Professional	TC	$51.27	$68.98	$102.82
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.43 / $18.43 / $18.43	Facility	TC	$18.43	$18.43	$18.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $58.95 / $121.06	Professional		$27.74	$58.95	$121.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $10.96 / $19.89	Professional	26	$6.79	$10.96	$19.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.89 / $48.44 / $103.28	Professional	TC	$21.89	$48.44	$103.28
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $44.88 / $74.33	Professional		$8.57	$44.88	$74.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $94.86 / $124.91	Professional		$47.10	$94.86	$124.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $16.32 / $21.42	Professional	26	$8.19	$16.32	$21.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $77.59 / $101.75	Professional	TC	$38.90	$77.59	$101.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $20.55 / $90.33	Professional		$10.48	$20.55	$90.33
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $100.00 / $100.00	Facility	26	$15.48	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $67.18 / $173.52 / $173.52	Facility	TC	$67.18	$173.52	$173.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $52.64 / $241.48	Professional		$27.92	$52.64	$241.48
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $10.80 / $51.19	Professional	26	$6.74	$10.80	$51.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.09 / $51.37 / $199.06	Professional	TC	$24.09	$51.37	$199.06
Tufts Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $36.00 / $67.43	Professional		$27.78	$36.00	$67.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $44.28 / $89.90	Professional		$26.55	$44.28	$89.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.69 / $9.36 / $18.00	Professional	26	$6.69	$9.36	$18.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $37.94 / $75.50	Professional	TC	$21.06	$37.94	$75.50