Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.26 / $20.26 / $37.68	Facility	26	$20.26	$20.26	$37.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $39.63 / $108.97	Professional		$29.16	$39.63	$108.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $21.76 / $46.88	Professional	26	$18.98	$21.76	$46.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.92 / $12.67 / $44.57	Professional	TC	$9.92	$12.67	$44.57
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.89 / $48.82 / $100.32	Facility	26	$21.89	$48.82	$100.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $71.50 / $355.02	Professional		$38.79	$71.50	$355.02
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $31.00 / $132.09	Professional	26	$19.57	$31.00	$132.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $14.34 / $45.26 / $222.93	Professional	TC	$14.34	$45.26	$222.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $108.95 / $197.04	Professional		$63.56	$108.95	$197.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.33 / $40.15 / $72.31	Professional	26	$23.33	$40.15	$72.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.24 / $69.25 / $124.74	Professional	TC	$40.24	$69.25	$124.74
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $23.51	Facility	26	$23.51	$23.51	$23.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $81.73 / $189.66	Professional		$42.78	$81.73	$189.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.54 / $37.34 / $71.70	Professional	26	$22.54	$37.34	$71.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.08 / $50.26 / $108.85	Professional	TC	$15.08	$50.26	$108.85
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $32.27 / $73.89	Professional		$13.93	$32.27	$73.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $112.02 / $167.10	Professional		$58.83	$112.02	$167.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $45.12 / $65.34	Professional	26	$21.77	$45.12	$65.34
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.38 / $70.25 / $101.75	Professional	TC	$36.38	$70.25	$101.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $55.48 / $87.44	Professional		$38.25	$55.48	$87.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $48.04 / $100.32 / $100.32	Facility	26	$48.04	$100.32	$100.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $79.00 / $355.02	Professional		$38.79	$79.00	$355.02
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.76 / $35.26 / $132.09	Professional	26	$22.76	$35.26	$132.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $14.34 / $44.81 / $222.93	Professional	TC	$14.34	$44.81	$222.93
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $63.38 / $142.94	Professional		$38.22	$63.38	$142.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $28.98 / $60.16	Professional	26	$22.38	$28.98	$60.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.21 / $36.71 / $87.37	Professional	TC	$13.21	$36.71	$87.37