Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $16.22 / $44.67	Facility	26	$7.94	$16.22	$44.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $51.29 / $269.15 / $912.01	Facility	TC	$51.29	$269.15	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $56.23 / $204.17	Professional		$21.88	$56.23	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $24.55 / $63.10	Professional	26	$10.00	$24.55	$63.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $154.88 / $275.42	Professional	50	$46.77	$154.88	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $45.71 / $147.91	Professional	TC	$28.18	$45.71	$147.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $100.00 / $100.00	Facility	26	$26.30	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $91.20 / $229.09 / $229.09	Facility	TC	$91.20	$229.09	$229.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $295.12	Professional		$37.15	$57.54	$295.12
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $87.10	Professional	26	$9.55	$15.14	$87.10
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $46.77 / $229.09	Professional	TC	$28.84	$46.77	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.88 / $28.84	Professional	26	$12.59	$21.88	$28.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $45.71 / $67.61	Professional	TC	$45.71	$45.71	$67.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	TC	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $131.83	Professional		$38.02	$67.61	$131.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.98 / $31.62	Professional	26	$9.55	$16.98	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $53.70 / $107.15	Professional	TC	$27.54	$53.70	$107.15
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $58.88 / $100.00	Professional		$14.79	$58.88	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $154.88	Professional		$51.29	$81.28	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $17.38 / $30.90	Professional	26	$11.22	$17.38	$30.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $58.88 / $109.65	Professional	TC	$39.81	$58.88	$109.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $85.11	Professional		$16.98	$22.91	$85.11
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $100.00 / $100.00	Facility	26	$26.30	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $91.20 / $229.09 / $229.09	Facility	TC	$91.20	$229.09	$229.09
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $295.12	Professional		$37.15	$57.54	$295.12
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.14 / $87.10	Professional	26	$9.55	$15.14	$87.10
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $46.77 / $229.09	Professional	TC	$28.84	$46.77	$229.09
Tufts Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $83.18	Professional		$37.15	$47.86	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $138.04	Professional		$39.81	$60.26	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.14 / $30.20	Professional	26	$10.72	$15.14	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $46.77 / $104.71	Professional	TC	$29.51	$46.77	$104.71