Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.57 / $13.14 / $28.10	Facility	26	$7.57	$13.14	$28.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $74.97 / $272.16	Professional		$32.76	$74.97	$272.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.57 / $10.38 / $32.71	Professional	26	$7.57	$10.38	$32.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $73.75 / $205.88	Professional	TC	$25.19	$73.75	$205.88
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.98 / $53.19 / $80.00	Facility	26	$21.98	$53.19	$80.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $90.78 / $554.75	Professional		$38.94	$90.78	$554.75
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.96 / $14.03 / $97.55	Professional	26	$7.96	$14.03	$97.55
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.11 / $69.66 / $506.03	Professional	TC	$29.11	$69.66	$506.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $17.57 / $23.24	Professional	26	$13.35	$17.57	$23.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.69 / $75.98 / $235.86	Professional	TC	$48.69	$75.98	$235.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $88.59 / $159.75	Professional		$44.48	$88.59	$159.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.97 / $16.01 / $28.26	Professional	26	$9.97	$16.01	$28.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.11 / $70.14 / $127.29	Professional	TC	$34.11	$70.14	$127.29
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $44.66 / $78.30	Professional		$12.01	$44.66	$78.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $99.59 / $133.41	Professional		$58.24	$99.59	$133.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $11.47 / $22.74 / $30.00	Professional	26	$11.47	$22.74	$30.00
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 $13.64 / $28.00 / $79.48	Professional		$13.64	$28.00	$79.48
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $53.19 / $80.00 / $80.00	Facility	26	$53.19	$80.00	$80.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $95.94 / $554.75	Professional		$43.10	$95.94	$554.75
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $15.07 / $97.55	Professional	26	$8.52	$15.07	$97.55
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $31.40 / $72.77 / $506.03	Professional	TC	$31.40	$72.77	$506.03
Tufts Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $68.09 / $106.39	Professional		$41.67	$68.09	$106.39
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $64.31 / $167.22	Professional		$40.06	$64.31	$167.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.52 / $12.13 / $30.00	Professional	26	$8.52	$12.13	$30.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.95 / $48.57 / $126.95	Professional	TC	$29.95	$48.57	$126.95