Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.46 / $20.46 / $38.06	Facility	26	$20.46	$20.46	$38.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $52.88 / $137.07	Professional		$37.11	$52.88	$137.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $24.06 / $60.20	Professional	26	$18.80	$24.06	$60.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.67 / $22.86 / $59.56	Professional	TC	$16.67	$22.86	$59.56
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.59 / $47.70 / $99.28	Facility	26	$21.59	$47.70	$99.28
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $76.50 / $378.70	Professional		$45.67	$76.50	$378.70
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $31.32 / $130.11	Professional	26	$19.87	$31.32	$130.11
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.82 / $50.52 / $242.47	Professional	TC	$25.82	$50.52	$242.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $112.41 / $150.88	Professional		$80.89	$112.41	$150.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $37.72 / $58.80	Professional	26	$23.01	$37.72	$58.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.15 / $23.15 / $23.15	Facility	26	$23.15	$23.15	$23.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $94.52 / $199.69	Professional		$52.55	$94.52	$199.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.24 / $37.38 / $70.50	Professional	26	$22.24	$37.38	$70.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.02 / $56.09 / $118.39	Professional	TC	$26.02	$56.09	$118.39
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $34.79 / $79.83	Professional		$14.42	$34.79	$79.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $113.48 / $171.13	Professional		$49.02	$113.48	$171.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.41 / $43.79 / $64.28	Professional	26	$21.41	$43.79	$64.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $43.42 / $78.39 / $113.55	Professional	TC	$43.42	$78.39	$113.55
Health New England Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $31.57 / $91.19	Professional		$26.72	$31.57	$91.19
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $47.70 / $99.28 / $99.28	Facility	26	$47.70	$99.28	$99.28
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $82.73 / $378.70	Professional		$50.86	$82.73	$378.70
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.81 / $34.86 / $130.11	Professional	26	$22.81	$34.86	$130.11
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.09 / $54.77 / $242.47	Professional	TC	$25.09	$54.77	$242.47
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $72.11 / $167.75	Professional		$50.72	$72.11	$167.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.24 / $28.70 / $58.24	Professional	26	$21.24	$28.70	$58.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.16 / $47.09 / $109.15	Professional	TC	$25.16	$47.09	$109.15