Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.17 / $46.04 / $61.14	Facility	26	$18.17	$46.04	$61.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $54.02 / $195.00	Professional		$27.35	$54.02	$195.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.18 / $39.97 / $104.18	Professional	26	$18.18	$39.97	$104.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $27.35 / $71.98 / $564.26	Professional	50	$27.35	$71.98	$564.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $12.84 / $170.80	Professional	TC	$9.18	$12.84	$170.80
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $76.93 / $80.80 / $160.55	Facility	26	$76.93	$80.80	$160.55
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $79.55 / $359.16	Professional		$31.82	$79.55	$359.16
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.55 / $40.83 / $193.46	Professional	26	$21.55	$40.83	$193.46
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $11.04 / $47.35 / $214.27	Professional	TC	$11.04	$47.35	$214.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $30.76 / $41.54	Professional		$22.27	$30.76	$41.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.60 / $61.51 / $83.06	Professional	26	$47.60	$61.51	$83.06
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $50.89 / $50.89	Professional	TC	$17.48	$50.89	$50.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $85.92 / $176.33	Professional		$39.43	$85.92	$176.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $43.78 / $92.15	Professional	26	$23.51	$43.78	$92.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.51 / $32.40 / $104.95	Professional	TC	$13.51	$32.40	$104.95
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $55.02 / $103.73	Professional		$37.32	$55.02	$103.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $148.22 / $206.72	Professional		$67.62	$148.22	$206.72
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $79.23 / $104.97	Professional	26	$40.14	$79.23	$104.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $77.14 / $101.75	Professional	TC	$38.90	$77.14	$101.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $56.68 / $104.24	Professional		$38.44	$56.68	$104.24
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $77.38 / $160.55 / $160.55	Facility	26	$77.38	$160.55	$160.55
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $76.23 / $359.16	Professional		$33.22	$76.23	$359.16
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.59 / $34.65 / $193.46	Professional	26	$19.59	$34.65	$193.46
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $11.94 / $45.38 / $214.27	Professional	TC	$11.94	$45.38	$214.27
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $66.95 / $124.80	Professional		$25.61	$66.95	$124.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $68.56 / $147.66	Professional		$31.53	$68.56	$147.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.59 / $38.75 / $95.56	Professional	26	$19.59	$38.75	$95.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.04 / $36.69 / $81.56	Professional	TC	$11.04	$36.69	$81.56