Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.92 / $8.93 / $19.09	Facility	26	$8.92	$8.93	$19.09
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $26.68 / $273.86 / $418.55	Facility	TC	$26.68	$273.86	$418.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $34.29 / $116.20	Professional		$27.02	$34.29	$116.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.93 / $11.59 / $33.60	Professional	26	$8.93	$11.59	$33.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $23.69 / $66.34	Professional	TC	$18.09	$23.69	$66.34
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $25.99 / $27.30 / $70.00	Facility	26	$25.99	$27.30	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $68.98 / $142.31	Facility	TC	$55.06	$68.98	$142.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $51.03 / $236.84	Professional		$33.71	$51.03	$236.84
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.63 / $15.49 / $70.37	Professional	26	$10.63	$15.49	$70.37
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.34 / $35.99 / $166.53	Professional	TC	$23.34	$35.99	$166.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.10 / $21.25 / $28.08	Professional	26	$16.10	$21.25	$28.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.43 / $23.43 / $34.74	Professional	TC	$23.43	$23.43	$34.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $57.66 / $117.44	Professional		$37.40	$57.66	$117.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $17.86 / $32.79	Professional	26	$11.70	$17.86	$32.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.62 / $40.54 / $84.62	Professional	TC	$25.62	$40.54	$84.62
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $38.69 / $69.17	Professional		$14.18	$38.69	$69.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $90.69 / $119.48	Professional		$45.47	$90.69	$119.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $26.96 / $35.36	Professional	26	$13.52	$26.96	$35.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $63.34 / $83.55	Professional	TC	$31.95	$63.34	$83.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $32.02 / $85.85	Professional		$12.05	$32.02	$85.85
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $26.10 / $70.00 / $70.00	Facility	26	$26.10	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $55.06 / $142.31 / $142.31	Facility	TC	$55.06	$142.31	$142.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $51.32 / $236.84	Professional		$36.04	$51.32	$236.84
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $15.87 / $70.37	Professional	26	$11.32	$15.87	$70.37
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $34.97 / $166.53	Professional	TC	$24.50	$34.97	$166.53
Tufts Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $39.11 / $76.08	Professional		$29.07	$39.11	$76.08
United Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $50.39 / $117.62	Professional		$35.79	$50.39	$117.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.24 / $15.42 / $27.37	Professional	26	$11.24	$15.42	$27.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.50 / $34.04 / $61.96	Professional	TC	$24.50	$34.04	$61.96