Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.70	Facility		$25.12	$25.12	$25.70
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.70 / $25.70 / $25.70	Facility	TC	$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $52.48	Professional		$13.80	$20.89	$52.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $25.12 / $81.28	Professional	26	$10.00	$25.12	$81.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $8.91 / $38.02	Professional	TC	$5.25	$8.91	$38.02
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
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 $14.79 / $32.36 / $131.83	Professional		$14.79	$32.36	$131.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $19.05 / $95.50	Professional	26	$9.12	$19.05	$95.50
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $14.45 / $95.50	Professional	TC	$5.75	$14.45	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $54.95	Professional		$23.99	$37.15	$54.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $22.91 / $31.62	Professional	26	$13.80	$22.91	$31.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $10.47 / $16.22 / $22.91	Professional	TC	$10.47	$16.22	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $20.89	Facility		$17.38	$17.38	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $43.65	Professional		$10.96	$19.50	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $12.02 / $25.12	Professional	26	$6.31	$12.02	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $4.68 / $7.08 / $18.20	Professional	TC	$4.68	$7.08	$18.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.62 / $35.48	Professional		$11.22	$18.62	$35.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $34.67 / $58.88	Professional		$14.13	$34.67	$58.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $25.12 / $35.48	Professional	26	$14.45	$25.12	$35.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $16.60 / $23.44	Professional	TC	$9.12	$16.60	$23.44
Health New England Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Health New England Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $89.13	Professional		$19.50	$25.12	$89.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
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 $14.79 / $32.36 / $131.83	Professional		$14.79	$32.36	$131.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $19.50 / $95.50	Professional	26	$9.12	$19.50	$95.50
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $15.49 / $95.50	Professional	TC	$6.03	$15.49	$95.50
Tufts Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $40.74	Professional		$15.14	$20.89	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.92 / $12.02	Facility		$4.79	$6.92	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $24.55 / $54.95	Professional		$13.18	$24.55	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $14.13 / $31.62	Professional	26	$8.51	$14.13	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $10.72 / $23.44	Professional	TC	$5.25	$10.72	$23.44