Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.14 / $22.14 / $83.23	Facility	26	$22.14	$22.14	$83.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $56.72 / $161.00	Professional		$42.96	$56.72	$161.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.14 / $30.55 / $78.65	Professional	26	$22.14	$30.55	$78.65
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.00 / $39.54 / $82.25	Professional	52	$26.00	$39.54	$82.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $25.32 / $65.00	Professional	TC	$20.82	$25.32	$65.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $70.83 / $139.60	Facility	26	$67.28	$70.83	$139.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $77.95 / $334.42	Professional		$53.51	$77.95	$334.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.27 / $40.71 / $182.49	Professional	26	$27.27	$40.71	$182.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.26 / $37.61 / $151.88	Professional	TC	$25.26	$37.61	$151.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.47 / $54.29 / $72.15	Professional	26	$32.47	$54.29	$72.15
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $23.37 / $45.77 / $72.80	Professional	52	$23.37	$45.77	$72.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.32 / $38.10 / $56.46	Professional	TC	$27.32	$38.10	$56.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $84.68 / $162.31	Professional		$56.56	$84.68	$162.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.23 / $44.39 / $85.08	Professional	26	$30.23	$44.39	$85.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.22 / $40.99 / $79.34	Professional	TC	$25.22	$40.99	$79.34
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $45.71 / $86.01	Professional		$32.11	$45.71	$86.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $58.82 / $183.69	Professional		$27.51	$58.82	$183.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $35.47 / $100.74	Professional	26	$17.61	$35.47	$100.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $14.75 / $29.24 / $82.95	Professional	TC	$14.75	$29.24	$82.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $70.17 / $118.44	Professional		$31.65	$70.17	$118.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $139.60 / $139.60	Facility	26	$67.28	$139.60	$139.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $78.90 / $334.42	Professional		$56.49	$78.90	$334.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $41.29 / $182.49	Professional	26	$30.68	$41.29	$182.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $26.88 / $37.93 / $151.88	Professional	TC	$26.88	$37.93	$151.88
Tufts Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $64.73 / $102.00	Professional		$41.84	$64.73	$102.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $75.73 / $167.75	Professional		$56.49	$75.73	$167.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.24 / $37.21 / $84.32	Professional	26	$24.24	$37.21	$84.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.43 / $34.99 / $62.19	Professional	TC	$25.43	$34.99	$62.19