Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.29 / $12.29 / $44.55	Facility	26	$12.29	$12.29	$44.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $43.52 / $177.72	Professional		$29.04	$43.52	$177.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $16.23 / $51.67	Professional	26	$12.29	$16.23	$51.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $26.63 / $56.30	Professional	TC	$16.75	$26.63	$56.30
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $38.32 / $40.52 / $80.66	Facility	26	$38.32	$40.52	$80.66
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $72.09 / $301.08	Professional		$45.98	$72.09	$301.08
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.15 / $24.26 / $104.20	Professional	26	$14.15	$24.26	$104.20
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $48.65 / $196.89	Professional	TC	$28.83	$48.65	$196.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.78 / $30.89 / $41.72	Professional	26	$18.78	$30.89	$41.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $73.05 / $149.77	Professional		$47.06	$73.05	$149.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.17 / $26.54 / $48.74	Professional	26	$15.17	$26.54	$48.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.91 / $50.77 / $91.09	Professional	TC	$29.91	$50.77	$91.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $46.91 / $86.69	Professional		$21.03	$46.91	$86.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $103.61 / $148.88	Professional		$36.86	$103.61	$148.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $39.79 / $52.49	Professional	26	$20.07	$39.79	$52.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $73.06 / $96.39	Professional	TC	$36.86	$73.06	$96.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $136.00 / $406.30	Professional		$132.60	$136.00	$406.30
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $38.32 / $80.66 / $80.66	Facility	26	$38.32	$80.66	$80.66
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $72.62 / $301.08	Professional		$48.02	$72.62	$301.08
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.81 / $25.40 / $104.20	Professional	26	$15.81	$25.40	$104.20
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $30.64 / $49.07 / $196.89	Professional	TC	$30.64	$49.07	$196.89
United Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $64.08 / $110.37	Professional		$46.56	$64.08	$110.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.89 / $22.92 / $50.23	Professional	26	$14.89	$22.92	$50.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.88 / $41.16 / $76.39	Professional	TC	$28.88	$41.16	$76.39