Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.78 / $11.79 / $44.42	Facility	26	$11.78	$11.79	$44.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $48.42 / $102.44	Professional		$34.36	$48.42	$102.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $15.40 / $41.00	Professional	26	$11.79	$15.40	$41.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $33.04 / $66.45	Professional	TC	$22.57	$33.04	$66.45
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $36.11 / $37.93 / $100.00	Facility	26	$36.11	$37.93	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $72.48 / $321.19	Professional		$44.37	$72.48	$321.19
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.09 / $23.51 / $128.79	Professional	26	$14.09	$23.51	$128.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.20 / $56.24 / $254.00	Professional	TC	$31.20	$56.24	$254.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.55 / $28.89 / $39.01	Professional	26	$17.55	$28.89	$39.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $78.47 / $159.19	Professional		$47.66	$78.47	$159.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.41 / $25.40 / $45.31	Professional	26	$16.41	$25.40	$45.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.65 / $56.17 / $114.40	Professional	TC	$33.65	$56.17	$114.40
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $51.79 / $93.92	Professional		$19.71	$51.79	$93.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $122.54 / $163.31	Professional		$61.44	$122.54	$163.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $37.57 / $49.27	Professional	26	$18.84	$37.57	$49.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $42.60 / $84.96 / $111.40	Professional	TC	$42.60	$84.96	$111.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $28.88 / $80.59	Professional		$21.92	$28.88	$80.59
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $100.00 / $100.00	Facility	26	$36.20	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $73.43 / $321.19	Professional		$48.56	$73.43	$321.19
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.76 / $24.36 / $128.79	Professional	26	$15.76	$24.36	$128.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $32.79 / $56.24 / $254.00	Professional	TC	$32.79	$56.24	$254.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $65.80 / $116.88	Professional		$44.40	$65.80	$116.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.34 / $21.02 / $36.21	Professional	26	$15.34	$21.02	$36.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.71 / $44.88 / $107.22	Professional	TC	$32.71	$44.88	$107.22