Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.19 / $19.69 / $41.59	Facility	26	$11.19	$19.69	$41.59
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $41.10 / $115.98 / $358.22	Facility	TC	$41.10	$115.98	$358.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $50.91 / $151.32	Professional		$38.46	$50.91	$151.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $14.74 / $41.30	Professional	26	$11.20	$14.74	$41.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $34.83 / $95.80	Professional	TC	$27.26	$34.83	$95.80
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.15 / $34.82 / $70.00	Facility	26	$33.15	$34.82	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $84.96 / $105.35 / $219.36	Facility	TC	$84.96	$105.35	$219.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $74.98 / $345.18	Professional		$49.46	$74.98	$345.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $19.87 / $89.67	Professional	26	$13.82	$19.87	$89.67
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.95 / $55.51 / $255.46	Professional	TC	$35.95	$55.51	$255.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.19 / $26.97 / $35.09	Professional	26	$20.19	$26.97	$35.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.73 / $85.02 / $112.99	Professional	TC	$64.73	$85.02	$112.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $84.32 / $171.76	Professional		$54.30	$84.32	$171.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $23.62 / $41.91	Professional	26	$14.84	$23.62	$41.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.21 / $61.92 / $129.85	Professional	TC	$39.21	$61.92	$129.85
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $59.60 / $105.19	Professional		$18.10	$59.60	$105.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $132.35 / $176.38	Professional		$66.36	$132.35	$176.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $34.10 / $44.98	Professional	26	$17.20	$34.10	$44.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $49.15 / $98.99 / $128.53	Professional	TC	$49.15	$98.99	$128.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $34.71 / $114.88	Professional		$20.45	$34.71	$114.88
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $33.22 / $70.00 / $70.00	Facility	26	$33.22	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $84.96 / $219.36 / $219.36	Facility	TC	$84.96	$219.36	$219.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $74.98 / $345.18	Professional		$52.21	$74.98	$345.18
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $14.72 / $20.50 / $89.67	Professional	26	$14.72	$20.50	$89.67
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $37.49 / $53.53 / $255.46	Professional	TC	$37.49	$53.53	$255.46
United Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $74.98 / $169.44	Professional		$52.21	$74.98	$169.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.32 / $19.68 / $34.82	Professional	26	$14.32	$19.68	$34.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.25 / $52.55 / $106.99	Professional	TC	$37.25	$52.55	$106.99