Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.07 / $12.69 / $26.21	Facility	26	$7.07	$12.69	$26.21
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.19 / $61.79 / $137.21	Facility	TC	$16.19	$61.79	$137.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $29.47 / $68.02	Professional		$23.26	$29.47	$68.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $9.32 / $24.57	Professional	26	$7.07	$9.32	$24.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $20.72 / $46.91	Professional	TC	$16.19	$20.72	$46.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $22.36 / $70.00	Facility	26	$21.10	$22.36	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $63.68 / $133.13	Facility	TC	$51.52	$63.68	$133.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $45.60 / $208.77	Professional		$29.90	$45.60	$208.77
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.74 / $12.74 / $57.45	Professional	26	$8.74	$12.74	$57.45
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.54 / $33.21 / $151.32	Professional	TC	$21.54	$33.21	$151.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.35 / $17.05 / $23.04	Professional	26	$12.35	$17.05	$23.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $51.03 / $105.93	Professional		$33.28	$51.03	$105.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $14.98 / $26.91	Professional	26	$9.58	$14.98	$26.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.14 / $37.54 / $76.89	Professional	TC	$23.14	$37.54	$76.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $36.21 / $64.51	Professional		$11.60	$36.21	$64.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $84.01 / $112.91	Professional		$28.92	$84.01	$112.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $21.83 / $28.92	Professional	26	$11.06	$21.83	$28.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.90 / $60.22 / $78.19	Professional	TC	$29.90	$60.22	$78.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $27.08 / $50.81	Professional		$13.16	$27.08	$50.81
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.10 / $70.00 / $70.00	Facility	26	$21.10	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $51.52 / $133.13 / $133.13	Facility	TC	$51.52	$133.13	$133.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $45.38 / $208.77	Professional		$31.79	$45.38	$208.77
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $13.18 / $57.45	Professional	26	$9.44	$13.18	$57.45
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $31.88 / $151.32	Professional	TC	$22.34	$31.88	$151.32
Tufts Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $25.97 / $42.42	Professional		$23.43	$25.97	$42.42
United Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $44.53 / $88.16	Professional		$31.11	$44.53	$88.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $12.65 / $22.38	Professional	26	$9.18	$12.65	$22.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.13 / $31.14 / $57.18	Professional	TC	$22.13	$31.14	$57.18