Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $28.18 / $112.20	Facility	26	$21.88	$28.18	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $229.09	Professional		$45.71	$74.13	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $52.48 / $107.15	Professional	26	$25.70	$52.48	$107.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.39 / $53.70 / $229.09	Professional	52	$22.39	$53.70	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.88 / $134.90	Professional	TC	$19.95	$33.88	$134.90
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $70.79 / $181.97	Facility	26	$31.62	$70.79	$181.97
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $72.44 / $331.13	Professional		$46.77	$72.44	$331.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $37.15 / $181.97	Professional	26	$24.55	$37.15	$181.97
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $34.67 / $151.36	Professional	TC	$22.39	$34.67	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $151.36	Professional		$67.61	$102.33	$151.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $56.23 / $74.13	Professional	26	$32.36	$56.23	$74.13
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $16.22 / $33.11 / $67.61	Professional	52	$16.22	$33.11	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $154.88	Professional		$45.71	$79.43	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $42.66 / $83.18	Professional	26	$24.55	$42.66	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $37.15 / $74.13	Professional	TC	$20.42	$37.15	$74.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $100.00	Professional		$32.36	$53.70	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $81.28	Professional		$26.92	$38.02	$81.28
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.70 / $60.26	Professional	26	$16.98	$25.70	$60.26
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $13.18 / $19.05 / $50.12	Professional	TC	$13.18	$19.05	$50.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $125.89	Professional		$32.36	$58.88	$125.89
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $70.79 / $181.97	Facility	26	$31.62	$70.79	$181.97
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $331.13	Professional		$47.86	$72.44	$331.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $38.02 / $181.97	Professional	26	$25.12	$38.02	$181.97
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $34.67 / $151.36	Professional	TC	$22.39	$34.67	$151.36
Tufts Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $102.33	Professional		$39.81	$53.70	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $125.89	Professional		$44.67	$67.61	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $37.15 / $67.61	Professional	26	$24.55	$37.15	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $61.66	Professional	TC	$21.88	$32.36	$61.66