Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $23.89 / $49.50	Professional		$19.45	$23.89	$49.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $19.44 / $73.98	Professional	26	$16.38	$19.44	$73.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.12 / $6.51 / $46.20	Professional	TC	$5.12	$6.51	$46.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $104.98 / $104.98 / $104.98	Facility	26	$104.98	$104.98	$104.98
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $43.92 / $180.45	Professional		$20.75	$43.92	$180.45
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.07 / $32.34 / $134.87	Professional	26	$16.07	$32.34	$134.87
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $5.63 / $12.40 / $45.58	Professional	TC	$5.63	$12.40	$45.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $31.43 / $32.47	Professional		$27.81	$31.43	$32.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.99 / $39.92 / $62.19	Professional	26	$28.99	$39.92	$62.19
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.43 / $7.99 / $7.99	Professional	TC	$7.43	$7.99	$7.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $26.45 / $54.44	Professional		$15.02	$26.45	$54.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $19.02 / $39.28	Professional	26	$11.09	$19.02	$39.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.12 / $7.67 / $15.17	Professional	TC	$4.12	$7.67	$15.17
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $28.48 / $53.47	Professional		$11.56	$28.48	$53.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $68.89 / $92.91	Professional		$36.45	$68.89	$92.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $48.59 / $65.76	Professional	26	$25.80	$48.59	$65.76
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $10.65 / $20.05 / $27.15	Professional	TC	$10.65	$20.05	$27.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $73.02 / $99.04	Professional		$33.85	$73.02	$99.04
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $104.98 / $104.98 / $104.98	Facility	26	$104.98	$104.98	$104.98
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $36.18 / $180.45	Professional		$20.75	$36.18	$180.45
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $26.79 / $134.87	Professional	26	$15.51	$26.79	$134.87
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $5.38 / $10.07 / $45.58	Professional	TC	$5.38	$10.07	$45.58
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $32.26 / $72.06	Professional		$20.25	$32.26	$72.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.09 / $25.15 / $54.14	Professional	26	$15.09	$25.15	$54.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.16 / $8.60 / $19.60	Professional	TC	$5.16	$8.60	$19.60