Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.08 / $13.14 / $29.99	Facility	26	$8.08	$13.14	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $29.01 / $56.73	Professional		$21.92	$29.01	$56.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $9.36 / $21.46	Professional	26	$8.08	$9.36	$21.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.84 / $19.57 / $44.00	Professional	TC	$13.84	$19.57	$44.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $23.99 / $80.00	Facility	26	$22.21	$23.99	$80.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.25 / $49.88 / $197.88	Professional		$28.25	$49.88	$197.88
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.14 / $14.35 / $232.03	Professional	26	$8.14	$14.35	$232.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.52 / $35.79 / $146.19	Professional	TC	$19.52	$35.79	$146.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $17.85 / $23.24	Professional	26	$13.35	$17.85	$23.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.78 / $36.61 / $36.61	Professional	TC	$25.78	$36.61	$36.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $52.81 / $100.13	Professional		$32.77	$52.81	$100.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $16.64 / $28.84	Professional	26	$10.02	$16.64	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.43 / $36.99 / $71.33	Professional	TC	$22.43	$36.99	$71.33
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $33.71 / $60.28	Professional		$12.01	$33.71	$60.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $77.95 / $103.19	Professional		$39.32	$77.95	$103.19
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 $27.85 / $55.54 / $72.83	Professional	TC	$27.85	$55.54	$72.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $29.99 / $71.84	Professional		$13.64	$29.99	$71.84
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $22.21 / $80.00 / $80.00	Facility	26	$22.21	$80.00	$80.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $50.36 / $197.88	Professional		$32.11	$50.36	$197.88
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $15.09 / $232.03	Professional	26	$8.81	$15.09	$232.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.37 / $36.59 / $146.19	Professional	TC	$22.37	$36.59	$146.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $45.43 / $80.87	Professional		$28.72	$45.43	$80.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.81 / $13.56 / $43.53	Professional	26	$8.81	$13.56	$43.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.99 / $31.87 / $63.46	Professional	TC	$20.99	$31.87	$63.46