Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.97 / $10.80 / $14.34	Facility	26	$5.97	$10.80	$14.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $28.12 / $88.04	Professional		$18.34	$28.12	$88.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.97 / $8.40 / $25.17	Professional	26	$5.97	$8.40	$25.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.60 / $129.94 / $158.21	Professional	50	$48.60	$129.94	$158.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.49 / $13.32 / $16.29	Professional	52	$10.49	$13.32	$16.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.00 / $20.64 / $52.70	Professional	TC	$15.00	$20.64	$52.70
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.04 / $18.95 / $100.00	Facility	26	$18.04	$18.95	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $41.57 / $184.96	Professional		$25.53	$41.57	$184.96
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.17 / $11.76 / $67.13	Professional	26	$7.17	$11.76	$67.13
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.19 / $33.46 / $149.00	Professional	TC	$19.19	$33.46	$149.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $7.22 / $9.75	Professional		$4.38	$7.22	$9.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.19 / $14.76 / $22.43	Professional	26	$11.19	$14.76	$22.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.40 / $44.30 / $67.00	Professional	TC	$33.40	$44.30	$67.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $45.38 / $91.96	Professional		$28.27	$45.38	$91.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $12.80 / $22.78	Professional	26	$8.21	$12.80	$22.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.58 / $35.71 / $69.17	Professional	TC	$20.58	$35.71	$69.17
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $30.73 / $54.94	Professional		$9.85	$30.73	$54.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $70.13 / $93.40	Professional		$34.82	$70.13	$93.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.42 / $18.79 / $24.63	Professional	26	$9.42	$18.79	$24.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.40 / $50.66 / $66.42	Professional	TC	$25.40	$50.66	$66.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $24.19 / $61.31	Professional		$10.90	$24.19	$61.31
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.09 / $100.00 / $100.00	Facility	26	$18.09	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $42.77 / $184.96	Professional		$28.21	$42.77	$184.96
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $7.86 / $12.56 / $67.13	Professional	26	$7.86	$12.56	$67.13
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $33.46 / $149.00	Professional	TC	$20.17	$33.46	$149.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $37.06 / $69.40	Professional		$27.88	$37.06	$69.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $10.27 / $18.96	Professional	26	$7.39	$10.27	$18.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.19 / $28.18 / $51.41	Professional	TC	$19.19	$28.18	$51.41