Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $23.96 / $24.90	Facility		$23.96	$23.96	$24.90
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.96 / $23.96 / $23.96	Facility	TC	$23.96	$23.96	$23.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $17.26 / $34.08	Professional		$14.48	$17.26	$34.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $20.14 / $82.74	Professional	26	$9.47	$20.14	$82.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.65 / $6.87 / $15.33	Professional	TC	$5.65	$6.87	$15.33
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Facility		$104.74	$104.74	$104.74
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $32.19 / $130.47	Professional		$14.85	$32.19	$130.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $19.48 / $95.76	Professional	26	$9.02	$19.48	$95.76
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $15.39 / $95.76	Professional	TC	$6.03	$15.39	$95.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Facility		$19.98	$19.98	$19.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.50 / $54.14	Professional		$24.37	$38.50	$54.14
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.86 / $22.80 / $35.42	Professional	26	$13.86	$22.80	$35.42
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $9.94 / $17.23 / $23.35	Professional	TC	$9.94	$17.23	$23.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $19.47 / $37.81	Professional		$11.07	$19.47	$37.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.32 / $11.92 / $21.97	Professional	26	$6.32	$11.92	$21.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.59 / $7.14 / $15.83	Professional	TC	$4.59	$7.14	$15.83
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $17.70 / $35.93	Professional		$10.84	$17.70	$35.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $45.42 / $62.90	Professional		$18.84	$45.42	$62.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $29.42 / $38.57	Professional	26	$14.75	$29.42	$38.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $10.24 / $19.43 / $26.78	Professional	TC	$10.24	$19.43	$26.78
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Facility		$4.23	$4.23	$4.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $29.43 / $89.25	Professional		$18.46	$29.43	$89.25
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Facility		$104.74	$104.74	$104.74
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 Facility Modifier TC Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	TC	$100.00	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $30.81 / $130.47	Professional		$13.52	$30.81	$130.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.83 / $18.80 / $95.76	Professional	26	$8.83	$18.80	$95.76
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $5.59 / $13.38 / $95.76	Professional	TC	$5.59	$13.38	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $22.99 / $52.85	Professional		$12.95	$22.99	$52.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $13.43 / $29.12	Professional	26	$8.44	$13.43	$29.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.21 / $9.58 / $22.68	Professional	TC	$5.21	$9.58	$22.68