Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.69 / $18.82 / $39.72	Facility	26	$10.69	$18.82	$39.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $50.81 / $145.49	Professional		$40.11	$50.81	$145.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $13.82 / $38.50	Professional	26	$10.69	$13.82	$38.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.18 / $38.54 / $101.94	Professional	TC	$30.18	$38.54	$101.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.78 / $32.33 / $70.00	Facility	26	$30.78	$32.33	$70.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $82.12 / $379.94	Professional		$53.83	$82.12	$379.94
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.05 / $18.44 / $83.23	Professional	26	$13.05	$18.44	$83.23
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $41.23 / $63.28 / $296.70	Professional	TC	$41.23	$63.28	$296.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.29 / $25.56 / $39.07	Professional	26	$15.29	$25.56	$39.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $93.13 / $189.69	Professional		$60.55	$93.13	$189.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $22.45 / $38.88	Professional	26	$14.29	$22.45	$38.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.13 / $72.34 / $150.81	Professional	TC	$44.13	$72.34	$150.81
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $69.97 / $117.93	Professional		$17.12	$69.97	$117.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $150.13 / $198.15	Professional		$74.55	$150.13	$198.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $32.67 / $42.84	Professional	26	$16.38	$32.67	$42.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $58.16 / $115.99 / $152.09	Professional	TC	$58.16	$115.99	$152.09
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $39.22 / $127.38	Professional		$19.01	$39.22	$127.38
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $31.19 / $70.00 / $70.00	Facility	26	$31.19	$70.00	$70.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $79.56 / $379.94	Professional		$56.21	$79.56	$379.94
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.67 / $19.03 / $83.23	Professional	26	$13.67	$19.03	$83.23
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $42.54 / $60.76 / $296.70	Professional	TC	$42.54	$60.76	$296.70
United Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $79.02 / $140.26	Professional		$55.30	$79.02	$140.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.60 / $18.26 / $32.32	Professional	26	$13.60	$18.26	$32.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.33 / $58.91 / $112.16	Professional	TC	$42.33	$58.91	$112.16