Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $43.65 / $97.72	Facility	26	$19.95	$43.65	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $67.61 / $263.03	Professional		$26.92	$67.61	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $43.65 / $100.00	Professional	26	$19.95	$43.65	$100.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $43.65 / $102.33	Professional	TC	$12.02	$43.65	$102.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $58.88 / $147.91	Facility	26	$26.92	$58.88	$147.91
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $446.68	Professional		$30.90	$74.13	$446.68
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.90 / $338.84	Professional	26	$18.62	$30.90	$338.84
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $33.88 / $338.84	Professional	TC	$12.02	$33.88	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $112.20	Professional		$48.98	$85.11	$112.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $47.86 / $63.10	Professional	26	$28.18	$47.86	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $169.82	Professional		$53.70	$104.71	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $45.71 / $70.79	Professional	26	$28.18	$45.71	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $50.12 / $109.65	Professional	TC	$21.88	$50.12	$109.65
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $72.44	Professional		$23.99	$38.02	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $128.82	Professional		$31.62	$50.12	$128.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $66.07	Professional	26	$28.84	$44.67	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $20.89 / $47.86	Professional	TC	$17.38	$20.89	$47.86
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.48	Professional		$33.88	$33.88	$35.48
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $58.88 / $147.91	Facility	26	$26.92	$58.88	$147.91
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $446.68	Professional		$30.90	$74.13	$446.68
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.90 / $338.84	Professional	26	$18.62	$30.90	$338.84
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $33.88 / $338.84	Professional	TC	$12.02	$33.88	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $147.91	Professional		$50.12	$89.13	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $31.62 / $67.61	Professional	26	$25.12	$31.62	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $38.02 / $77.62	Professional	TC	$20.42	$38.02	$77.62