Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $9.12 / $36.31	Facility	26	$7.08	$9.12	$36.31
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $16.22 / $74.13 / $213.80	Facility	TC	$16.22	$74.13	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $147.91	Professional		$19.95	$38.90	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $13.49 / $38.02	Professional	26	$7.59	$13.49	$38.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $57.54	Professional	TC	$15.85	$22.91	$57.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $22.39 / $70.79	Facility	26	$10.00	$22.39	$70.79
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $28.18 / $63.10 / $151.36	Facility	TC	$28.18	$63.10	$151.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $120.23	Professional		$28.18	$40.74	$120.23
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.75 / $57.54	Professional	26	$7.76	$11.75	$57.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $151.36	Professional	TC	$19.95	$30.20	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.78 / $23.44	Professional	26	$10.47	$17.78	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $95.50	Professional		$26.92	$48.98	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $13.80 / $26.92	Professional	26	$8.13	$13.80	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $35.48 / $69.18	Professional	TC	$18.62	$35.48	$69.18
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $38.90 / $67.61	Professional		$12.02	$38.90	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $109.65	Professional		$38.90	$60.26	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $13.80 / $24.55	Professional	26	$9.33	$13.80	$24.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $37.15 / $74.13	Professional	TC	$25.12	$37.15	$74.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $51.29	Professional		$12.88	$15.85	$51.29
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $22.39 / $70.79	Facility	26	$10.00	$22.39	$70.79
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $28.18 / $63.10 / $151.36	Facility	TC	$28.18	$63.10	$151.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $208.93	Professional		$28.18	$41.69	$208.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.75 / $57.54	Professional	26	$8.13	$11.75	$57.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $30.20 / $151.36	Professional	TC	$19.95	$30.20	$151.36
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $44.67	Professional		$25.12	$30.20	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $95.50	Professional		$30.90	$44.67	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.59 / $24.55	Professional	26	$9.12	$12.59	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $31.62 / $67.61	Professional	TC	$21.88	$31.62	$67.61