Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.12 / $23.14 / $68.48	Facility	26	$18.12	$23.14	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $82.84 / $326.60	Professional		$36.61	$82.84	$326.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.01 / $29.10 / $63.89	Professional	26	$18.01	$29.10	$63.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.48 / $55.11 / $82.38	Professional	TC	$18.48	$55.11	$82.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $55.07 / $57.85 / $115.19	Facility	26	$55.07	$57.85	$115.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $100.63 / $592.92	Professional		$50.22	$100.63	$592.92
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.32 / $34.57 / $232.81	Professional	26	$18.32	$34.57	$232.81
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.67 / $64.09 / $409.84	Professional	TC	$25.67	$64.09	$409.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $22.01 / $29.72	Professional		$15.52	$22.01	$29.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.45 / $44.73 / $59.45	Professional	26	$33.45	$44.73	$59.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $35.18 / $60.30 / $136.18	Professional	TC	$35.18	$60.30	$136.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $96.91 / $190.30	Professional		$51.31	$96.91	$190.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.35 / $35.29 / $69.19	Professional	26	$20.35	$35.29	$69.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $56.63 / $110.02	Professional	TC	$28.14	$56.63	$110.02
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $43.23 / $91.45	Professional		$29.04	$43.23	$91.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $121.80 / $160.74	Professional		$61.44	$121.80	$160.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.67 / $56.14 / $74.94	Professional	26	$28.67	$56.14	$74.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.77 / $64.95 / $85.70	Professional	TC	$32.77	$64.95	$85.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $56.28 / $156.74	Professional		$35.74	$56.28	$156.74
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $55.69 / $115.19 / $115.19	Facility	26	$55.69	$115.19	$115.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $106.82 / $592.92	Professional		$54.27	$106.82	$592.92
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $34.15 / $232.81	Professional	26	$18.80	$34.15	$232.81
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $26.46 / $66.15 / $409.84	Professional	TC	$26.46	$66.15	$409.84
Tufts Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $88.59 / $110.81	Professional		$51.27	$88.59	$110.81
United Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $76.80 / $144.12	Professional		$51.35	$76.80	$144.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $31.27 / $69.90	Professional	26	$17.20	$31.27	$69.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.45 / $42.92 / $92.27	Professional	TC	$25.45	$42.92	$92.27