Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.97 / $10.91 / $22.21	Facility	26	$5.97	$10.91	$22.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $23.46 / $74.62	Professional		$12.95	$23.46	$74.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.11 / $14.00 / $46.00	Professional	26	$6.11	$14.00	$46.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.56 / $11.48 / $46.51	Professional	TC	$6.56	$11.48	$46.51
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $37.11 / $100.00	Facility	26	$35.32	$37.11	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $60.08 / $753.15	Professional		$28.07	$60.08	$753.15
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $22.16 / $95.54	Professional	26	$9.39	$22.16	$95.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $41.15 / $738.76	Professional	TC	$20.55	$41.15	$738.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $28.74 / $38.19	Professional	26	$21.88	$28.74	$38.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $45.40 / $45.40	Professional	TC	$17.48	$45.40	$45.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $51.44 / $113.18	Professional		$25.51	$51.44	$113.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.53 / $19.03 / $37.78	Professional	26	$9.53	$19.03	$37.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $34.61 / $77.48	Professional	TC	$16.03	$34.61	$77.48
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $42.48 / $74.51	Professional		$18.94	$42.48	$74.51
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 $17.00 / $25.97 / $47.41	Professional		$17.00	$25.97	$47.41
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $35.32 / $100.00 / $100.00	Facility	26	$35.32	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $60.08 / $753.15	Professional		$26.38	$60.08	$753.15
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $22.21 / $95.54	Professional	26	$8.44	$22.21	$95.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $18.19 / $43.09 / $738.76	Professional	TC	$18.19	$43.09	$738.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $51.34 / $98.20	Professional		$25.83	$51.34	$98.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $19.25 / $36.15	Professional	26	$8.26	$19.25	$36.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.93 / $34.40 / $65.94	Professional	TC	$17.93	$34.40	$65.94