Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $37.15 / $37.15	Facility		$35.48	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.89 / $47.86	Professional		$10.96	$20.89	$47.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $7.59 / $22.39	Professional	26	$3.02	$7.59	$22.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.08 / $15.14 / $30.20	Professional	TC	$7.08	$15.14	$30.20
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $28.18 / $125.89	Professional		$12.02	$28.18	$125.89
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $7.08 / $87.10	Professional	26	$3.24	$7.08	$87.10
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $23.44 / $100.00	Professional	TC	$11.22	$23.44	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $46.77	Professional		$20.42	$33.88	$46.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $8.32 / $11.22	Professional	26	$5.01	$8.32	$11.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $26.30 / $35.48	Professional	TC	$15.49	$26.30	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $29.51	Facility		$24.55	$24.55	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $34.67	Professional		$9.12	$15.14	$34.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.29 / $4.37 / $9.12	Professional	26	$2.29	$4.37	$9.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.61 / $11.48 / $28.84	Professional	TC	$6.61	$11.48	$28.84
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $18.20 / $31.62	Professional		$5.62	$18.20	$31.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.88 / $48.98	Professional		$14.79	$33.88	$48.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $5.13 / $8.91 / $11.48	Professional	26	$5.13	$8.91	$11.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $26.92 / $38.02	Professional	TC	$14.45	$26.92	$38.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.55 / $42.66	Professional		$7.08	$9.55	$42.66
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $28.18 / $125.89	Professional		$12.59	$28.18	$125.89
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $3.24 / $7.08 / $87.10	Professional	26	$3.24	$7.08	$87.10
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $23.44 / $100.00	Professional	TC	$11.22	$23.44	$100.00
Tufts Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $9.77 / $40.74	Facility		$2.51	$9.77	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.89 / $45.71	Professional		$10.96	$20.89	$45.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.95 / $5.25 / $12.02	Professional	26	$2.95	$5.25	$12.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.94 / $15.85 / $33.11	Professional	TC	$7.94	$15.85	$33.11