Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $51.29	Facility	26	$10.00	$10.00	$51.29
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $20.89 / $89.13 / $457.09	Facility	TC	$20.89	$89.13	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $213.80	Professional		$32.36	$47.86	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $16.98 / $50.12	Professional	26	$10.47	$16.98	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.84 / $75.86	Professional	TC	$20.89	$28.84	$75.86
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $31.62 / $81.28	Facility	26	$14.13	$31.62	$81.28
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $81.28 / $194.98	Facility	TC	$35.48	$81.28	$194.98
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $151.36	Professional		$36.31	$54.95	$151.36
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.60 / $47.86	Professional	26	$10.96	$16.60	$47.86
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $112.20	Professional	TC	$25.70	$38.02	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $125.89	Professional		$54.95	$81.28	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $25.12 / $33.11	Professional	26	$14.45	$25.12	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $120.23	Professional		$35.48	$63.10	$120.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $19.05 / $38.02	Professional	26	$11.22	$19.05	$38.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $44.67 / $85.11	Professional	TC	$23.44	$44.67	$85.11
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $46.77 / $85.11	Professional		$16.98	$46.77	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $125.89	Professional		$43.65	$67.61	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $18.62 / $33.88	Professional	26	$13.18	$18.62	$33.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $45.71 / $83.18	Professional	TC	$30.20	$45.71	$83.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $83.18	Professional		$18.20	$22.91	$83.18
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $31.62 / $81.28	Facility	26	$14.13	$31.62	$81.28
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $35.48 / $81.28 / $194.98	Facility	TC	$35.48	$81.28	$194.98
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $154.88	Professional		$37.15	$54.95	$154.88
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.60 / $81.28	Professional	26	$11.22	$16.60	$81.28
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $38.02 / $194.98	Professional	TC	$25.70	$38.02	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $120.23	Professional		$40.74	$57.54	$120.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $17.78 / $33.88	Professional	26	$12.88	$17.78	$33.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $39.81 / $83.18	Professional	TC	$28.18	$39.81	$83.18