Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $16.60 / $37.15	Facility	26	$7.08	$16.60	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $50.12 / $338.84	Professional		$21.88	$50.12	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $53.70	Professional	26	$8.91	$10.96	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $25.70 / $120.23	Professional	TC	$12.88	$25.70	$120.23
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $38.90 / $131.83	Facility	26	$21.88	$38.90	$131.83
AllWays Health Partners Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $46.77 / $758.58	Professional		$22.39	$46.77	$758.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.88 / $131.83	Professional	26	$8.13	$12.88	$131.83
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $26.30 / $707.95	Professional	TC	$13.18	$26.30	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $177.83	Professional		$38.02	$66.07	$177.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $17.78 / $24.55	Professional	26	$10.72	$17.78	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $52.48 / $162.18	Professional		$21.38	$52.48	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.45 / $27.54	Professional	26	$8.51	$14.45	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $34.67 / $147.91	Professional	TC	$13.49	$34.67	$147.91
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $26.92 / $58.88	Professional		$12.59	$26.92	$58.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $79.43	Professional		$24.55	$36.31	$79.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $25.70	Professional	26	$9.55	$13.18	$25.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $25.12 / $50.12	Professional	TC	$16.60	$25.12	$50.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $46.77	Professional		$13.18	$15.85	$46.77
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $38.90 / $131.83	Facility	26	$21.88	$38.90	$131.83
Mass General Brigham Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $45.71 / $758.58	Professional		$22.39	$45.71	$758.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.18 / $131.83	Professional	26	$8.51	$13.18	$131.83
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $13.49 / $25.70 / $707.95	Professional	TC	$13.49	$25.70	$707.95
Tufts Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $70.79	Professional		$28.84	$47.86	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $162.18	Professional		$23.99	$47.86	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $28.18	Professional	26	$9.55	$13.18	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $26.30 / $128.82	Professional	TC	$14.13	$26.30	$128.82