Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $40.74	Facility	26	$19.95	$19.95	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $100.00	Professional		$28.84	$52.48	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $64.57	Professional	26	$18.20	$23.99	$64.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $30.90 / $63.10	Professional	TC	$8.91	$30.90	$63.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $48.98 / $131.83	Facility	26	$16.22	$48.98	$131.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $354.81	Professional		$38.90	$67.61	$354.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.20 / $131.83	Professional	26	$18.62	$30.20	$131.83
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $42.66 / $223.87	Professional	TC	$14.79	$42.66	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $371.54	Professional		$63.10	$117.49	$371.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $43.65 / $138.04	Professional	26	$23.44	$43.65	$138.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $74.13 / $239.88	Professional	TC	$39.81	$74.13	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $186.21	Professional		$42.66	$77.62	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $70.79	Professional	26	$22.39	$33.88	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $45.71 / $109.65	Professional	TC	$14.45	$45.71	$109.65
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $33.88 / $77.62	Professional		$14.45	$33.88	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $147.91	Professional		$53.70	$97.72	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $54.95	Professional	26	$20.89	$35.48	$54.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $53.70 / $89.13	Professional	TC	$33.11	$53.70	$89.13
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $16.22 / $48.98 / $131.83	Facility	26	$16.22	$48.98	$131.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $354.81	Professional		$39.81	$69.18	$354.81
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $131.83	Professional	26	$19.50	$30.90	$131.83
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $42.66 / $223.87	Professional	TC	$15.85	$42.66	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $154.88	Professional		$38.90	$66.07	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $32.36 / $61.66	Professional	26	$21.88	$32.36	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $38.90 / $97.72	Professional	TC	$14.45	$38.90	$97.72