Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.28 / $11.28 / $42.53	Facility	26	$11.28	$11.28	$42.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $53.08 / $96.43	Professional		$44.20	$53.08	$96.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.28 / $14.06 / $21.87	Professional	26	$11.28	$14.06	$21.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $37.71 / $54.69	Professional	TC	$32.22	$37.71	$54.69
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $33.46 / $35.65 / $70.00	Facility	26	$33.46	$35.65	$70.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $76.44 / $325.58	Professional		$46.64	$76.44	$325.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.11 / $19.92 / $91.83	Professional	26	$12.11	$19.92	$91.83
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.86 / $55.78 / $233.75	Professional	TC	$33.86	$55.78	$233.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $93.35 / $165.93	Professional		$54.93	$93.35	$165.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.91 / $24.72 / $42.84	Professional	26	$14.91	$24.72	$42.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.83 / $68.59 / $123.12	Professional	TC	$39.83	$68.59	$123.12
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $59.46 / $104.95	Professional		$18.07	$59.46	$104.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $132.35 / $176.38	Professional		$66.36	$132.35	$176.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $34.10 / $44.98	Professional	26	$17.20	$34.10	$44.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $49.15 / $98.99 / $128.53	Professional	TC	$49.15	$98.99	$128.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $27.59 / $85.97	Professional		$19.89	$27.59	$85.97
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $33.46 / $70.00 / $70.00	Facility	26	$33.46	$70.00	$70.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $77.42 / $325.58	Professional		$49.26	$77.42	$325.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.78 / $20.52 / $91.83	Professional	26	$12.78	$20.52	$91.83
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $35.74 / $56.83 / $233.75	Professional	TC	$35.74	$56.83	$233.75
United Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $75.22 / $188.93	Professional		$49.26	$75.22	$188.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $19.01 / $51.57	Professional	26	$12.66	$19.01	$51.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.71 / $54.56 / $116.03	Professional	TC	$35.71	$54.56	$116.03