Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.95 / $6.96 / $24.35	Facility	26	$6.95	$6.96	$24.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $36.95 / $95.39	Professional		$25.75	$36.95	$95.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.96 / $9.16 / $24.96	Professional	26	$6.96	$9.16	$24.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $25.21 / $46.69	Professional	TC	$18.78	$25.21	$46.69
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $19.35 / $20.74 / $100.00	Facility	26	$19.35	$20.74	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $55.68 / $260.95	Professional		$31.64	$55.68	$260.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $12.92 / $83.63	Professional	26	$7.88	$12.92	$83.63
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.38 / $50.36 / $207.72	Professional	TC	$25.38	$50.36	$207.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.63 / $15.84 / $21.39	Professional	26	$9.63	$15.84	$21.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $62.49 / $130.57	Professional		$33.39	$62.49	$130.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $14.43 / $24.97	Professional	26	$8.86	$14.43	$24.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.24 / $49.28 / $105.58	Professional	TC	$24.24	$49.28	$105.58
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $46.77 / $75.44	Professional		$10.75	$46.77	$75.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $101.28 / $130.63	Professional		$64.19	$101.28	$130.63
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $20.42 / $26.78	Professional	26	$10.24	$20.42	$26.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.39 / $80.05 / $101.75	Professional	TC	$47.39	$80.05	$101.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $26.00 / $137.38	Professional		$11.69	$26.00	$137.38
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.35 / $100.00 / $100.00	Facility	26	$19.35	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $58.00 / $260.95	Professional		$32.69	$58.00	$260.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.76 / $14.43 / $83.63	Professional	26	$8.76	$14.43	$83.63
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.46 / $51.35 / $207.72	Professional	TC	$24.46	$51.35	$207.72
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $47.56 / $93.58	Professional		$31.09	$47.56	$93.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $11.75 / $22.60	Professional	26	$8.46	$11.75	$22.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $40.20 / $84.70	Professional	TC	$24.07	$40.20	$84.70