Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.83 / $18.36 / $39.72	Facility	26	$10.83	$18.36	$39.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $41.22 / $137.49	Professional		$28.16	$41.22	$137.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $15.09 / $41.68	Professional	26	$10.83	$15.09	$41.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.08 / $19.61 / $25.58	Professional	52	$14.08	$19.61	$25.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.32 / $25.26 / $77.31	Professional	TC	$17.32	$25.26	$77.31
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $30.31 / $32.17 / $80.00	Facility	26	$30.31	$32.17	$80.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $63.77 / $290.45	Professional		$41.15	$63.77	$290.45
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $19.26 / $82.68	Professional	26	$11.32	$19.26	$82.68
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.04 / $49.09 / $207.72	Professional	TC	$29.04	$49.09	$207.72
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $24.94 / $33.14	Professional	26	$14.92	$24.94	$33.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $70.83 / $144.27	Professional		$45.24	$70.83	$144.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.99 / $22.34 / $39.75	Professional	26	$12.99	$22.34	$39.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.33 / $49.34 / $93.99	Professional	TC	$31.33	$49.34	$93.99
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $48.14 / $86.07	Professional		$16.69	$48.14	$86.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $111.11 / $148.08	Professional		$55.71	$111.11	$148.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.97 / $31.66 / $41.76	Professional	26	$15.97	$31.66	$41.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $79.23 / $103.90	Professional	TC	$39.72	$79.23	$103.90
Health New England Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $40.64 / $107.95	Professional		$20.52	$40.64	$107.95
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $30.31 / $80.00 / $80.00	Facility	26	$30.31	$80.00	$80.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $64.34 / $290.45	Professional		$43.16	$64.34	$290.45
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.08 / $20.49 / $82.68	Professional	26	$13.08	$20.49	$82.68
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.88 / $49.09 / $207.72	Professional	TC	$29.88	$49.09	$207.72
Tufts Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $37.04 / $61.00	Professional		$35.50	$37.04	$61.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $61.96 / $105.10	Professional		$41.55	$61.96	$105.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $17.46 / $35.36	Professional	26	$11.47	$17.46	$35.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $43.01 / $89.66	Professional	TC	$29.72	$43.01	$89.66