Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.24 / $3.24 / $6.03	Facility	26	$3.24	$3.24	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $41.83 / $159.43	Professional		$27.01	$41.83	$159.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.22 / $4.30 / $14.00	Professional	26	$3.22	$4.30	$14.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.79 / $14.73 / $30.28	Professional	52	$11.79	$14.73	$30.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $33.75 / $90.00	Professional	TC	$21.08	$33.75	$90.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $7.10 / $9.86 / $101.15	Facility	26	$7.10	$9.86	$101.15
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $67.06 / $724.06	Professional		$25.26	$67.06	$724.06
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $3.22 / $6.58 / $289.41	Professional	26	$3.22	$6.58	$289.41
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $57.13 / $680.57	Professional	TC	$22.62	$57.13	$680.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $53.48 / $93.58	Professional		$41.55	$53.48	$93.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $4.09 / $5.64 / $7.64	Professional	26	$4.09	$5.64	$7.64
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $16.30 / $20.78 / $22.13	Professional	52	$16.30	$20.78	$22.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.17 / $47.83 / $65.09	Professional	TC	$29.17	$47.83	$65.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $4.50 / $4.50 / $4.50	Facility	26	$4.50	$4.50	$4.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $53.21 / $140.61	Professional		$27.94	$53.21	$140.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.69 / $6.08 / $9.72	Professional	26	$3.69	$6.08	$9.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.61 / $46.41 / $103.71	Professional	TC	$25.61	$46.41	$103.71
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $15.92 / $38.86	Professional		$2.25	$15.92	$38.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $55.21 / $72.83	Professional		$27.85	$55.21	$72.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $3.69 / $7.22 / $9.65	Professional	26	$3.69	$7.22	$9.65
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $47.32 / $63.21	Professional	TC	$24.17	$47.32	$63.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $7.55 / $37.61	Professional		$4.72	$7.55	$37.61
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $39.94 / $101.15 / $101.15	Facility	26	$39.94	$101.15	$101.15
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $119.00 / $724.06	Professional		$30.52	$119.00	$724.06
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $3.79 / $7.41 / $289.41	Professional	26	$3.79	$7.41	$289.41
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $26.41 / $83.59 / $680.57	Professional	TC	$26.41	$83.59	$680.57
Tufts Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $32.19 / $34.47	Professional		$28.82	$32.19	$34.47
United Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $63.13 / $163.98	Professional		$30.31	$63.13	$163.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.34 / $5.41 / $12.52	Professional	26	$3.34	$5.41	$12.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.17 / $52.53 / $142.38	Professional	TC	$24.17	$52.53	$142.38