Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $47.20 / $60.27	Professional		$21.27	$47.20	$60.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.20 / $11.89 / $46.57	Professional	26	$5.20	$11.89	$46.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $41.79 / $50.00	Professional	TC	$16.64	$41.79	$50.00
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $178.89 / $178.89 / $178.89	Facility		$178.89	$178.89	$178.89
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 $25.81 / $58.46 / $270.27	Professional		$25.81	$58.46	$270.27
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $5.05 / $10.83 / $145.30	Professional	26	$5.05	$10.83	$145.30
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $53.07 / $232.41	Professional	TC	$24.18	$53.07	$232.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $45.91 / $45.91	Facility		$45.91	$45.91	$45.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $66.17 / $92.28	Professional		$41.54	$66.17	$92.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $12.58 / $19.60	Professional	26	$9.13	$12.58	$19.60
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.72 / $55.54 / $75.23	Professional	TC	$26.72	$55.54	$75.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $31.15 / $73.27	Professional		$18.18	$31.15	$73.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.50 / $6.50 / $13.76	Professional	26	$3.50	$6.50	$13.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.14 / $26.54 / $64.26	Professional	TC	$14.14	$26.54	$64.26
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $37.36 / $61.48	Professional		$8.32	$37.36	$61.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $82.91 / $107.11	Professional		$46.28	$82.91	$107.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $15.48 / $20.88	Professional	26	$8.19	$15.48	$20.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.77 / $66.00 / $85.70	Professional	TC	$32.77	$66.00	$85.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $28.38 / $127.39	Professional		$10.75	$28.38	$127.39
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $178.89 / $178.89 / $178.89	Facility		$178.89	$178.89	$178.89
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 $23.46 / $58.02 / $270.27	Professional		$23.46	$58.02	$270.27
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $5.05 / $10.83 / $145.30	Professional	26	$5.05	$10.83	$145.30
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.18 / $53.07 / $232.41	Professional	TC	$24.18	$53.07	$232.41
Tufts Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $25.81	Facility		$25.81	$25.81	$25.81
Tufts Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $52.27 / $67.89	Professional		$28.39	$52.27	$67.89
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $37.00 / $86.51	Professional		$21.91	$37.00	$86.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.69 / $8.41 / $20.39	Professional	26	$4.69	$8.41	$20.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.23 / $31.60 / $104.94	Professional	TC	$17.23	$31.60	$104.94