Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.76 / $13.76 / $13.76	Facility	26	$13.76	$13.76	$13.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $44.98 / $160.00	Professional		$30.67	$44.98	$160.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.06 / $14.97 / $40.29	Professional	26	$10.06	$14.97	$40.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.54 / $22.29 / $37.39	Professional	TC	$18.54	$22.29	$37.39
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.13 / $25.68 / $70.00	Facility	26	$23.13	$25.68	$70.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $61.74 / $195.66	Professional		$34.59	$61.74	$195.66
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.17 / $22.82 / $69.84	Professional	26	$11.17	$22.82	$69.84
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $42.10 / $129.61	Professional	TC	$21.46	$42.10	$129.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $10.00 / $35.36	Professional		$6.66	$10.00	$35.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.17 / $19.89 / $26.44	Professional	26	$14.17	$19.89	$26.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $56.00 / $107.51	Professional		$33.47	$56.00	$107.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.56 / $20.76 / $36.00	Professional	26	$11.56	$20.76	$36.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $37.10 / $70.61	Professional	TC	$22.22	$37.10	$70.61
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $20.92 / $46.91	Professional		$7.70	$20.92	$46.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $75.06 / $97.46	Professional		$27.91	$75.06	$97.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.70 / $25.18 / $32.51	Professional	26	$12.70	$25.18	$32.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.58 / $48.73 / $63.98	Professional	TC	$24.58	$48.73	$63.98
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $32.90 / $79.05	Professional		$18.75	$32.90	$79.05
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $24.22 / $70.00 / $70.00	Facility	26	$24.22	$70.00	$70.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $62.07 / $195.66	Professional		$37.89	$62.07	$195.66
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $25.45 / $69.84	Professional	26	$14.44	$25.45	$69.84
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $45.52 / $129.61	Professional	TC	$23.45	$45.52	$129.61
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $54.92 / $108.20	Professional		$37.89	$54.92	$108.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $21.70 / $38.99	Professional	26	$14.44	$21.70	$38.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.45 / $38.61 / $90.25	Professional	TC	$23.45	$38.61	$90.25