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 $35.42 / $47.13 / $98.03	Professional		$35.42	$47.13	$98.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $22.88 / $40.65	Professional	26	$18.35	$22.88	$40.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.16 / $20.09 / $45.70	Professional	TC	$15.16	$20.09	$45.70
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $18.71 / $41.89 / $98.31	Facility	26	$18.71	$41.89	$98.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $67.84 / $351.65	Professional		$40.21	$67.84	$351.65
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.59 / $29.90 / $131.37	Professional	26	$17.59	$29.90	$131.37
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $23.10 / $43.96 / $214.27	Professional	TC	$23.10	$43.96	$214.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $100.98 / $182.62	Professional		$58.91	$100.98	$182.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.95 / $29.39 / $88.17	Professional	26	$16.95	$29.39	$88.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.05 / $20.05	Facility	26	$20.05	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $85.91 / $170.99	Professional		$49.79	$85.91	$170.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $33.81 / $61.06	Professional	26	$19.55	$33.81	$61.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.61 / $48.67 / $104.62	Professional	TC	$23.61	$48.67	$104.62
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $30.32 / $69.26	Professional		$12.49	$30.32	$69.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $100.68 / $150.34	Professional		$44.24	$100.68	$150.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $38.46 / $55.70	Professional	26	$18.55	$38.46	$55.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.22 / $68.03 / $98.54	Professional	TC	$35.22	$68.03	$98.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.44 / $70.84	Professional		$30.20	$30.44	$70.84
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $41.24 / $98.31 / $98.31	Facility	26	$41.24	$98.31	$98.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $72.88 / $351.65	Professional		$46.22	$72.88	$351.65
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.69 / $33.22 / $131.37	Professional	26	$20.69	$33.22	$131.37
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.34 / $47.68 / $214.27	Professional	TC	$22.34	$47.68	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $63.67 / $131.74	Professional		$44.03	$63.67	$131.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.29 / $27.83 / $51.47	Professional	26	$20.29	$27.83	$51.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $35.47 / $85.91	Professional	TC	$22.18	$35.47	$85.91