Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.98 / $6.98 / $12.98	Facility	26	$6.98	$6.98	$12.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $38.76 / $160.00	Professional		$28.13	$38.76	$160.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.11 / $10.16 / $34.00	Professional	26	$7.11	$10.16	$34.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $23.57 / $48.84	Professional	TC	$18.66	$23.57	$48.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $16.43 / $19.32 / $103.69	Facility	26	$16.43	$19.32	$103.69
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $65.61 / $644.00	Professional		$27.07	$65.61	$644.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $15.15 / $228.88	Professional	26	$7.49	$15.15	$228.88
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $48.89 / $542.00	Professional	TC	$19.73	$48.89	$542.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $55.46 / $86.42	Professional		$33.82	$55.46	$86.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $13.70 / $36.04	Professional	26	$9.52	$13.70	$36.04
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.83 / $28.58 / $31.28	Professional	TC	$25.83	$28.58	$31.28
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.08 / $9.08 / $9.08	Facility	26	$9.08	$9.08	$9.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $55.38 / $89.22	Professional		$29.35	$55.38	$89.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $13.70 / $22.57	Professional	26	$8.19	$13.70	$22.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $41.09 / $68.78	Professional	TC	$22.39	$41.09	$68.78
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $16.32 / $38.90	Professional		$5.19	$16.32	$38.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $60.45 / $79.26	Professional		$26.40	$60.45	$79.26
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $16.84 / $22.49	Professional	26	$8.60	$16.84	$22.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.71 / $42.86 / $56.77	Professional	TC	$21.71	$42.86	$56.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $17.36 / $40.29	Professional		$11.00	$17.36	$40.29
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $19.32 / $103.69 / $103.69	Facility	26	$19.32	$103.69	$103.69
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $70.64 / $644.00	Professional		$32.71	$70.64	$644.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $16.88 / $228.88	Professional	26	$8.13	$16.88	$228.88
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.38 / $55.95 / $542.00	Professional	TC	$23.38	$55.95	$542.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $55.77 / $86.82	Professional		$31.08	$55.77	$86.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.34 / $29.13	Professional	26	$7.58	$12.34	$29.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $40.29 / $84.71	Professional	TC	$20.78	$40.29	$84.71