Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.27 / $11.28 / $23.28	Facility	26	$6.27	$11.28	$23.28
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $22.22 / $58.62 / $120.46	Facility	TC	$22.22	$58.62	$120.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $26.85 / $52.89	Professional		$21.60	$26.85	$52.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.27 / $8.36 / $27.30	Professional	26	$6.27	$8.36	$27.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.60 / $19.00 / $37.40	Professional	TC	$15.60	$19.00	$37.40
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $19.84 / $70.00	Facility	26	$18.72	$19.84	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $56.55 / $118.47	Facility	TC	$45.82	$56.55	$118.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $42.13 / $187.12	Professional		$27.77	$42.13	$187.12
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.74 / $11.31 / $51.02	Professional	26	$7.74	$11.31	$51.02
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.98 / $30.23 / $136.11	Professional	TC	$19.98	$30.23	$136.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $15.15 / $23.53	Professional	26	$9.21	$15.15	$23.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $48.58 / $93.06	Professional		$29.99	$48.58	$93.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $13.30 / $23.89	Professional	26	$8.52	$13.30	$23.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.58 / $34.69 / $69.17	Professional	TC	$21.58	$34.69	$69.17
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $32.22 / $57.41	Professional		$10.30	$32.22	$57.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $72.26 / $96.88	Professional		$36.45	$72.26	$96.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $19.48 / $25.71	Professional	26	$9.83	$19.48	$25.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.62 / $53.61 / $69.61	Professional	TC	$26.62	$53.61	$69.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $24.28 / $255.00	Professional		$11.57	$24.28	$255.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.72 / $70.00 / $70.00	Facility	26	$18.72	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $45.82 / $118.47 / $118.47	Facility	TC	$45.82	$118.47	$118.47
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $42.55 / $187.12	Professional		$29.30	$42.55	$187.12
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $11.56 / $51.02	Professional	26	$8.23	$11.56	$51.02
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.10 / $136.11	Professional	TC	$20.89	$30.10	$136.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $39.34 / $68.08	Professional		$29.29	$39.34	$68.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.15 / $11.23 / $19.88	Professional	26	$8.15	$11.23	$19.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.82 / $65.37	Professional	TC	$20.89	$29.82	$65.37