Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.28 / $7.28 / $27.03	Facility	26	$7.28	$7.28	$27.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $62.25 / $146.36	Professional		$17.62	$62.25	$146.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $9.58 / $21.46	Professional	26	$7.28	$9.58	$21.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.34 / $30.45 / $70.37	Professional	TC	$10.34	$30.45	$70.37
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.98 / $38.57 / $132.00	Facility	26	$21.98	$38.57	$132.00
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $29.10 / $53.18 / $53.18	Facility	53	$29.10	$53.18	$53.18
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $58.75 / $761.56	Professional		$23.21	$58.75	$761.56
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.35 / $14.03 / $132.00	Professional	26	$9.35	$14.03	$132.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $13.35 / $37.26 / $705.08	Professional	TC	$13.35	$37.26	$705.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $8.77 / $11.86	Professional		$5.34	$8.77	$11.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $17.95 / $23.73	Professional	26	$12.72	$17.95	$23.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.39 / $45.20 / $91.99	Professional	TC	$39.39	$45.20	$91.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $55.68 / $162.66	Professional		$24.83	$55.68	$162.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $16.01 / $27.94	Professional	26	$9.97	$16.01	$27.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.25 / $34.53 / $147.72	Professional	TC	$16.25	$34.53	$147.72
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $25.14 / $48.04	Professional		$12.01	$25.14	$48.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $57.33 / $81.47	Professional		$20.07	$57.33	$81.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $22.64 / $30.00	Professional	26	$11.47	$22.64	$30.00
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.68 / $41.36 / $52.49	Professional	TC	$23.68	$41.36	$52.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $18.80 / $34.00	Professional		$13.65	$18.80	$34.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $132.00 / $132.00	Facility	26	$22.21	$132.00	$132.00
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $29.10 / $53.18 / $53.18	Facility	53	$29.10	$53.18	$53.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $95.57 / $761.56	Professional		$25.07	$95.57	$761.56
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $14.82 / $132.00	Professional	26	$9.51	$14.82	$132.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $14.03 / $43.45 / $705.08	Professional	TC	$14.03	$43.45	$705.08
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $36.43 / $60.00	Professional		$25.21	$36.43	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $38.06 / $161.56	Professional		$23.46	$38.06	$161.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $12.50 / $26.78	Professional	26	$9.50	$12.50	$26.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.75 / $24.03 / $138.44	Professional	TC	$13.75	$24.03	$138.44