Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.53 / $10.53 / $12.57	Facility	26	$10.53	$10.53	$12.57
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.06 / $86.92 / $269.58	Facility	TC	$21.06	$86.92	$269.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $40.00 / $86.05	Professional		$31.60	$40.00	$86.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.53 / $12.67 / $35.22	Professional	26	$10.53	$12.67	$35.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.06 / $26.18 / $51.90	Professional	TC	$21.06	$26.18	$51.90
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $29.93 / $31.44 / $70.00	Facility	26	$29.93	$31.44	$70.00
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $63.62 / $80.54 / $164.35	Facility	TC	$63.62	$80.54	$164.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $59.77 / $277.95	Professional		$39.34	$59.77	$277.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $17.95 / $81.06	Professional	26	$12.51	$17.95	$81.06
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $27.24 / $41.83 / $196.89	Professional	TC	$27.24	$41.83	$196.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.88 / $24.32 / $32.32	Professional	26	$16.88	$24.32	$32.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.27 / $40.54 / $40.54	Professional	TC	$27.27	$40.54	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $67.67 / $137.84	Professional		$43.10	$67.67	$137.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.46 / $21.07 / $37.78	Professional	26	$13.46	$21.07	$37.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.64 / $47.32 / $100.06	Professional	TC	$29.64	$47.32	$100.06
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $44.66 / $79.84	Professional		$16.34	$44.66	$79.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $99.46 / $137.11	Professional		$44.57	$99.46	$137.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.56 / $30.72 / $40.69	Professional	26	$15.56	$30.72	$40.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $73.51 / $96.39	Professional	TC	$36.86	$73.51	$96.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $20.00 / $41.25	Professional		$18.00	$20.00	$41.25
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $30.22 / $70.00 / $70.00	Facility	26	$30.22	$70.00	$70.00
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $63.62 / $164.35 / $164.35	Facility	TC	$63.62	$164.35	$164.35
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $59.94 / $277.95	Professional		$41.77	$59.94	$277.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.10 / $18.27 / $81.06	Professional	26	$13.10	$18.27	$81.06
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.47 / $40.64 / $196.89	Professional	TC	$28.47	$40.64	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $58.39 / $115.23	Professional		$41.77	$58.39	$115.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $17.75 / $31.41	Professional	26	$12.99	$17.75	$31.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.10 / $40.64 / $72.31	Professional	TC	$28.10	$40.64	$72.31