Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.75 / $20.75 / $65.18	Facility	26	$20.75	$20.75	$65.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $70.65 / $116.52	Professional		$40.15	$70.65	$116.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.75 / $30.35 / $80.45	Professional	26	$20.75	$30.35	$80.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $47.17 / $62.31	Professional	TC	$16.00	$47.17	$62.31
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.66 / $56.30 / $120.92	Facility	26	$26.66	$56.30	$120.92
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $87.45 / $447.52	Professional		$33.70	$87.45	$447.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $31.94 / $338.48	Professional	26	$20.61	$31.94	$338.48
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $14.48 / $37.70 / $338.48	Professional	TC	$14.48	$37.70	$338.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $84.75 / $109.83	Professional		$62.99	$84.75	$109.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $46.63 / $60.68	Professional	26	$33.22	$46.63	$60.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $105.36 / $173.04	Professional		$47.78	$105.36	$173.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.95 / $49.18 / $75.54	Professional	26	$26.95	$49.18	$75.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.83 / $49.93 / $114.77	Professional	TC	$20.83	$49.93	$114.77
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $35.90 / $67.42	Professional		$22.95	$35.90	$67.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $88.32 / $148.01	Professional		$29.49	$88.32	$148.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.49 / $55.29 / $75.68	Professional	26	$29.49	$55.29	$75.68
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $37.97 / $52.58	Professional	TC	$20.89	$37.97	$52.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $33.64 / $34.58	Professional		$25.63	$33.64	$34.58
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $55.73 / $120.92 / $120.92	Facility	26	$55.73	$120.92	$120.92
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $97.04 / $447.52	Professional		$51.95	$97.04	$447.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.87 / $39.27 / $338.48	Professional	26	$25.87	$39.27	$338.48
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.56 / $58.45 / $338.48	Professional	TC	$24.56	$58.45	$338.48
United Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $89.76 / $137.27	Professional		$50.38	$89.76	$137.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.61 / $31.94 / $79.69	Professional	26	$24.61	$31.94	$79.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $37.97 / $77.50	Professional	TC	$23.46	$37.97	$77.50