Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.50 / $14.51 / $26.99	Facility	26	$14.50	$14.51	$26.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $32.65 / $78.58	Professional		$23.85	$32.65	$78.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.14 / $16.69 / $47.60	Professional	26	$13.14	$16.69	$47.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.63 / $15.59 / $52.10	Professional	TC	$11.63	$15.59	$52.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.48 / $33.94 / $80.00	Facility	26	$15.48	$33.94	$80.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $60.69 / $306.10	Professional		$34.11	$60.69	$306.10
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $21.92 / $93.99	Professional	26	$13.76	$21.92	$93.99
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.75 / $43.51 / $212.11	Professional	TC	$16.75	$43.51	$212.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $27.14 / $42.16	Professional	26	$18.80	$27.14	$42.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.55 / $16.55 / $16.55	Facility	26	$16.55	$16.55	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $70.61 / $159.06	Professional		$36.86	$70.61	$159.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.95 / $25.96 / $50.06	Professional	26	$15.95	$25.96	$50.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.42 / $47.86 / $103.56	Professional	TC	$18.42	$47.86	$103.56
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $27.48 / $64.73	Professional		$10.32	$27.48	$64.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $95.50 / $142.47	Professional		$46.31	$95.50	$142.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $15.34 / $31.38 / $46.05	Professional	26	$15.34	$31.38	$46.05
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.46 / $66.55 / $96.39	Professional	TC	$34.46	$66.55	$96.39
Health New England Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $50.55 / $87.15	Professional		$24.92	$50.55	$87.15
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $33.90 / $80.00 / $80.00	Facility	26	$33.90	$80.00	$80.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $67.39 / $306.10	Professional		$34.11	$67.39	$306.10
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $24.92 / $93.99	Professional	26	$16.14	$24.92	$93.99
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $46.66 / $212.11	Professional	TC	$16.73	$46.66	$212.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $53.52 / $120.24	Professional		$34.11	$53.52	$120.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.88 / $20.89 / $53.71	Professional	26	$15.88	$20.89	$53.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $36.00 / $84.09	Professional	TC	$16.19	$36.00	$84.09