Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.92 / $8.94 / $11.82	Facility	26	$4.92	$8.94	$11.82
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.25 / $65.61 / $305.52	Facility	TC	$23.25	$65.61	$305.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $28.19 / $86.33	Professional		$17.51	$28.19	$86.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $4.92 / $6.93 / $25.20	Professional	26	$4.92	$6.93	$25.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $23.80 / $64.28	Professional	TC	$17.04	$23.80	$64.28
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.85 / $15.64 / $100.00	Facility	26	$14.85	$15.64	$100.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $47.96 / $60.99 / $123.98	Facility	TC	$47.96	$60.99	$123.98
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $41.03 / $187.25	Professional		$24.13	$41.03	$187.25
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $5.85 / $9.60 / $54.49	Professional	26	$5.85	$9.60	$54.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.57 / $36.72 / $146.99	Professional	TC	$19.57	$36.72	$146.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.97 / $8.06	Professional		$4.21	$5.97	$8.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $12.19 / $16.11	Professional	26	$9.44	$12.19	$16.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $48.36 / $73.51	Professional	TC	$36.65	$48.36	$73.51
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $18.43 / $18.43 / $18.43	Facility	TC	$18.43	$18.43	$18.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $47.30 / $93.48	Professional		$25.43	$47.30	$93.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.79 / $10.47 / $18.79	Professional	26	$6.79	$10.47	$18.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $39.50 / $75.73	Professional	TC	$19.52	$39.50	$75.73
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $33.44 / $56.56	Professional		$8.13	$33.44	$56.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $71.78 / $100.36	Professional		$35.64	$71.78	$100.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $15.42 / $20.35	Professional	26	$7.78	$15.42	$20.35
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.85 / $56.09 / $72.83	Professional	TC	$27.85	$56.09	$72.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $18.68 / $62.17	Professional		$9.25	$18.68	$62.17
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $14.85 / $100.00 / $100.00	Facility	26	$14.85	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $47.96 / $123.98 / $123.98	Facility	TC	$47.96	$123.98	$123.98
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $42.77 / $187.25	Professional		$26.78	$42.77	$187.25
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $6.45 / $10.24 / $54.49	Professional	26	$6.45	$10.24	$54.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $37.72 / $146.99	Professional	TC	$21.06	$37.72	$146.99
Tufts Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $25.94 / $94.42	Professional		$23.58	$25.94	$94.42
United Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $35.64 / $70.23	Professional		$25.47	$35.64	$70.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $8.86 / $15.67	Professional	26	$6.42	$8.86	$15.67
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.63 / $28.14 / $54.78	Professional	TC	$20.63	$28.14	$54.78