Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $18.88 / $71.40	Facility	26	$18.87	$18.88	$71.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $53.70 / $288.51	Professional		$36.49	$53.70	$288.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.88 / $33.08 / $131.15	Professional	26	$18.88	$33.08	$131.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.62 / $23.10 / $51.60	Professional	TC	$17.62	$23.10	$51.60
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $55.29 / $58.08 / $115.95	Facility	26	$55.29	$58.08	$115.95
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.51 / $91.41 / $495.56	Professional		$44.51	$91.41	$495.56
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $35.86 / $151.44	Professional	26	$22.22	$35.86	$151.44
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.52 / $50.80 / $378.66	Professional	TC	$22.52	$50.80	$378.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.00 / $44.20 / $59.69	Professional	26	$32.00	$44.20	$59.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.49 / $42.53 / $57.76	Professional	TC	$28.49	$42.53	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $88.72 / $148.41	Professional		$51.61	$88.72	$148.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.55 / $39.46 / $70.61	Professional	26	$23.55	$39.46	$70.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.30 / $44.39 / $76.59	Professional	TC	$23.30	$44.39	$76.59
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $38.36 / $72.87	Professional		$26.62	$38.36	$72.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $99.98 / $141.40	Professional		$39.72	$99.98	$141.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.67 / $56.59 / $74.97	Professional	26	$28.67	$56.59	$74.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.40 / $50.14 / $66.42	Professional	TC	$25.40	$50.14	$66.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $71.91 / $143.83	Professional		$37.61	$71.91	$143.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $55.98 / $115.95 / $115.95	Facility	26	$55.98	$115.95	$115.95
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $91.88 / $495.56	Professional		$48.36	$91.88	$495.56
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $34.74 / $151.44	Professional	26	$24.02	$34.74	$151.44
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $50.80 / $378.66	Professional	TC	$22.70	$50.80	$378.66
Tufts Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $60.73 / $88.86	Professional		$43.73	$60.73	$88.86
United Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $74.75 / $138.13	Professional		$47.67	$74.75	$138.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.22 / $31.79 / $61.33	Professional	26	$22.22	$31.79	$61.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.70 / $32.65 / $71.28	Professional	TC	$22.70	$32.65	$71.28