Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $29.51	Facility	26	$14.13	$14.13	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $125.89	Professional		$42.66	$53.70	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.85 / $39.81	Professional	26	$12.88	$15.85	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $38.02 / $85.11	Professional	TC	$30.20	$38.02	$85.11
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $33.11 / $91.20	Facility	26	$10.96	$33.11	$91.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $537.03	Professional		$42.66	$77.62	$537.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $20.89 / $91.20	Professional	26	$13.49	$20.89	$91.20
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $56.23 / $223.87	Professional	TC	$31.62	$56.23	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $114.82	Professional		$51.29	$87.10	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $165.96	Professional		$48.98	$89.13	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $24.55 / $47.86	Professional	26	$15.49	$24.55	$47.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $64.57 / $114.82	Professional	TC	$34.67	$64.57	$114.82
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $26.92 / $66.07	Professional		$10.47	$26.92	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $57.54 / $107.15	Professional		$16.22	$57.54	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $26.92 / $41.69	Professional	26	$13.80	$26.92	$41.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $50.12 / $75.86	Professional	TC	$28.84	$50.12	$75.86
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $33.11 / $91.20	Facility	26	$10.96	$33.11	$91.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $537.03	Professional		$43.65	$77.62	$537.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $20.89 / $91.20	Professional	26	$13.80	$20.89	$91.20
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $56.23 / $223.87	Professional	TC	$33.88	$56.23	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $128.82	Professional		$48.98	$81.28	$128.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $22.39 / $41.69	Professional	26	$15.49	$22.39	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $57.54 / $91.20	Professional	TC	$33.88	$57.54	$91.20