Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.79 / $11.79 / $44.42	Facility	26	$11.79	$11.79	$44.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $55.15 / $118.34	Professional		$28.83	$55.15	$118.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $15.11 / $48.63	Professional	26	$11.79	$15.11	$48.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.04 / $41.56 / $53.49	Professional	TC	$17.04	$41.56	$53.49
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $35.26 / $37.04 / $100.00	Facility	26	$35.26	$37.04	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $72.43 / $390.88	Professional		$40.45	$72.43	$390.88
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $23.34 / $103.00	Professional	26	$14.34	$23.34	$103.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $52.96 / $301.75	Professional	TC	$24.54	$52.96	$301.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $14.10 / $19.04	Professional		$8.57	$14.10	$19.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.41 / $28.65 / $43.80	Professional	26	$20.41	$28.65	$43.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $76.89 / $139.12	Professional		$42.00	$76.89	$139.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $25.23 / $44.83	Professional	26	$16.07	$25.23	$44.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.25 / $53.10 / $92.00	Professional	TC	$26.25	$53.10	$92.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $41.16 / $77.40	Professional		$19.27	$41.16	$77.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $100.69 / $135.00	Professional		$50.79	$100.69	$135.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $36.38 / $48.20	Professional	26	$18.43	$36.38	$48.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $65.17 / $84.62	Professional	TC	$32.36	$65.17	$84.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $36.22 / $115.60	Professional		$21.32	$36.22	$115.60
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $35.57 / $100.00 / $100.00	Facility	26	$35.57	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $79.34 / $390.88	Professional		$44.78	$79.34	$390.88
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.62 / $24.15 / $103.00	Professional	26	$15.62	$24.15	$103.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $26.82 / $56.33 / $301.75	Professional	TC	$26.82	$56.33	$301.75
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $63.36 / $112.50	Professional		$42.84	$63.36	$112.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.25 / $20.52 / $36.21	Professional	26	$15.25	$20.52	$36.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $39.26 / $74.95	Professional	TC	$24.54	$39.26	$74.95