Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.38 / $21.23 / $23.92	Facility	26	$6.38	$21.23	$23.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $70.68 / $100.89	Professional		$37.39	$70.68	$100.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $11.12 / $47.30	Professional	26	$6.84	$11.12	$47.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.51 / $52.52 / $73.15	Professional	TC	$25.51	$52.52	$73.15
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $37.64 / $100.00	Facility	26	$34.79	$37.64	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $79.31 / $479.78	Professional		$42.09	$79.31	$479.78
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $21.88 / $211.35	Professional	26	$10.16	$21.88	$211.35
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.71 / $64.40 / $429.40	Professional	TC	$26.71	$64.40	$429.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.84 / $28.96 / $43.80	Professional	26	$21.84	$28.96	$43.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $87.15 / $160.09	Professional		$51.05	$87.15	$160.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.96 / $19.19 / $44.08	Professional	26	$9.96	$19.19	$44.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.53 / $65.30 / $128.72	Professional	TC	$34.53	$65.30	$128.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $43.78 / $80.48	Professional		$19.19	$43.78	$80.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $106.42 / $140.44	Professional		$52.84	$106.42	$140.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.43 / $36.86 / $48.20	Professional	26	$18.43	$36.86	$48.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.40 / $68.20 / $89.99	Professional	TC	$34.40	$68.20	$89.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.43 / $46.00	Professional		$15.36	$21.43	$46.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $34.79 / $100.00 / $100.00	Facility	26	$34.79	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $85.61 / $479.78	Professional		$46.54	$85.61	$479.78
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.85 / $22.52 / $211.35	Professional	26	$8.85	$22.52	$211.35
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.18 / $64.84 / $429.40	Professional	TC	$29.18	$64.84	$429.40
United Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $67.27 / $125.99	Professional		$44.71	$67.27	$125.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $18.48 / $35.20	Professional	26	$7.73	$18.48	$35.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.71 / $45.97 / $101.88	Professional	TC	$26.71	$45.97	$101.88