Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.68 / $15.49 / $20.68	Facility	26	$8.68	$15.49	$20.68
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $52.03 / $204.73 / $576.82	Facility	TC	$52.03	$204.73	$576.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $47.60 / $127.37	Professional		$24.00	$47.60	$127.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $15.76 / $61.28	Professional	26	$8.84	$15.76	$61.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $65.59 / $192.24 / $265.74	Professional	50	$65.59	$192.24	$265.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.63 / $21.20 / $26.40	Professional	52	$15.63	$21.20	$26.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.09 / $92.94	Professional	TC	$22.57	$33.09	$92.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.85 / $27.40 / $100.00	Facility	26	$25.85	$27.40	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $77.14 / $94.72 / $199.17	Facility	TC	$77.14	$94.72	$199.17
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $65.73 / $297.63	Professional		$37.59	$65.73	$297.63
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $16.67 / $87.52	Professional	26	$9.82	$16.67	$87.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $57.20 / $229.42	Professional	TC	$29.89	$57.20	$229.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.73 / $21.23 / $28.21	Professional	26	$14.73	$21.23	$28.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.18 / $66.45 / $130.55	Professional	TC	$46.18	$66.45	$130.55
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	TC	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $72.89 / $148.47	Professional		$40.38	$72.89	$148.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.64 / $18.39 / $32.93	Professional	26	$11.64	$18.39	$32.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $57.25 / $117.61	Professional	TC	$29.56	$57.25	$117.61
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $53.69 / $92.46	Professional		$14.21	$53.69	$92.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $117.13 / $154.59	Professional		$58.16	$117.13	$154.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $26.80 / $35.36	Professional	26	$13.52	$26.80	$35.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $44.65 / $89.05 / $116.76	Professional	TC	$44.65	$89.05	$116.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $33.86 / $122.24	Professional		$18.12	$33.86	$122.24
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $25.85 / $100.00 / $100.00	Facility	26	$25.85	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $77.14 / $199.17 / $199.17	Facility	TC	$77.14	$199.17	$199.17
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $68.40 / $297.63	Professional		$41.77	$68.40	$297.63
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $18.12 / $87.52	Professional	26	$11.20	$18.12	$87.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $31.76 / $58.59 / $229.42	Professional	TC	$31.76	$58.59	$229.42
Tufts Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $50.64 / $95.27	Professional		$36.86	$50.64	$95.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $56.72 / $110.48	Professional		$39.68	$56.72	$110.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.82 / $14.87 / $26.50	Professional	26	$9.82	$14.87	$26.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.20 / $46.83 / $86.66	Professional	TC	$31.20	$46.83	$86.66