Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.52 / $21.52 / $21.52	Facility	26	$21.52	$21.52	$21.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.86 / $150.90	Professional		$32.34	$55.86	$150.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $26.93 / $49.12	Professional	26	$17.89	$26.93	$49.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $24.38 / $90.19	Professional	TC	$14.45	$24.38	$90.19
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.43 / $52.64 / $201.45	Facility	26	$47.43	$52.64	$201.45
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $93.44 / $787.87	Professional		$39.70	$93.44	$787.87
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $43.03 / $382.94	Professional	26	$22.74	$43.03	$382.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $44.57 / $603.44	Professional	TC	$16.96	$44.57	$603.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $112.53 / $112.53	Professional		$112.53	$112.53	$112.53
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.73 / $58.73 / $58.73	Professional	26	$58.73	$58.73	$58.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.80 / $53.80 / $53.80	Professional	TC	$53.80	$53.80	$53.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $83.90 / $175.34	Professional		$39.86	$83.90	$175.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.06 / $43.04 / $73.31	Professional	26	$22.06	$43.04	$73.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.45 / $39.63 / $123.21	Professional	TC	$17.45	$39.63	$123.21
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $26.78 / $59.79	Professional		$12.79	$26.78	$59.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $89.89 / $124.24	Professional		$44.41	$89.89	$124.24
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $51.96 / $67.38	Professional	26	$25.80	$51.96	$67.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.71 / $43.72 / $56.77	Professional	TC	$21.71	$43.72	$56.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $64.44 / $64.44	Professional		$48.51	$64.44	$64.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $48.85 / $201.45 / $201.45	Facility	26	$48.85	$201.45	$201.45
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $109.54 / $787.87	Professional		$43.67	$109.54	$787.87
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $43.24 / $382.94	Professional	26	$22.74	$43.24	$382.94
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $18.45 / $53.02 / $603.44	Professional	TC	$18.45	$53.02	$603.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $76.40 / $201.82	Professional		$40.22	$76.40	$201.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.74 / $38.78 / $57.66	Professional	26	$22.74	$38.78	$57.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.96 / $31.24 / $129.24	Professional	TC	$16.96	$31.24	$129.24