Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $14.79 / $27.51	Facility	26	$14.79	$14.79	$27.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $54.66 / $76.50	Professional		$45.13	$54.66	$76.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $15.57 / $21.70	Professional	26	$13.12	$15.57	$21.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.07 / $39.86 / $54.80	Professional	TC	$30.07	$39.86	$54.80
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.03 / $33.02 / $80.00	Facility	26	$15.03	$33.02	$80.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $77.52 / $541.00	Professional		$45.01	$77.52	$541.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.76 / $21.86 / $91.83	Professional	26	$13.76	$21.86	$91.83
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.58 / $57.83 / $223.65	Professional	TC	$33.58	$57.83	$223.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $83.97 / $129.65	Professional		$60.43	$83.97	$129.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $91.85 / $167.41	Professional		$53.07	$91.85	$167.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.68 / $25.60 / $48.04	Professional	26	$15.68	$25.60	$48.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.34 / $67.11 / $119.37	Professional	TC	$37.34	$67.11	$119.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $26.54 / $63.96	Professional		$9.82	$26.54	$63.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $89.93 / $132.82	Professional		$43.17	$89.93	$132.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.62 / $30.31 / $43.91	Professional	26	$14.62	$30.31	$43.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $31.79 / $60.58 / $88.91	Professional	TC	$31.79	$60.58	$88.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $32.90 / $80.00 / $80.00	Facility	26	$32.90	$80.00	$80.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $89.42 / $541.00	Professional		$56.63	$89.42	$541.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.36 / $24.95 / $91.83	Professional	26	$16.36	$24.95	$91.83
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $40.29 / $63.98 / $223.65	Professional	TC	$40.29	$63.98	$223.65
United Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $77.52 / $132.82	Professional		$54.24	$77.52	$132.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.52 / $20.65 / $40.42	Professional	26	$15.52	$20.65	$40.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.25 / $55.52 / $109.90	Professional	TC	$39.25	$55.52	$109.90