Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.00 / $11.28 / $13.84	Facility	26	$8.00	$11.28	$13.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $38.49 / $117.48	Professional		$26.89	$38.49	$117.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.64 / $67.64 / $89.00	Professional	25	$67.64	$67.64	$89.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.53 / $9.22 / $27.78	Professional	26	$7.53	$9.22	$27.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $28.87 / $42.91	Professional	TC	$18.38	$28.87	$42.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $8.58 / $18.87 / $100.00	Facility	26	$8.58	$18.87	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $54.33 / $400.00	Professional		$29.09	$54.33	$400.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $13.83 / $132.09	Professional	26	$8.18	$13.83	$132.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $43.98 / $139.38	Professional	TC	$22.44	$43.98	$139.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $53.20 / $71.03	Professional		$37.36	$53.20	$71.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $14.31 / $20.32	Professional	26	$9.92	$14.31	$20.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $26.59 / $39.06 / $53.35	Professional	TC	$26.59	$39.06	$53.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $49.66 / $98.39	Professional		$32.67	$49.66	$98.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $12.72 / $25.86	Professional	26	$8.75	$12.72	$25.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.47 / $36.86 / $70.97	Professional	TC	$23.47	$36.86	$70.97
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $17.62 / $42.98	Professional		$5.72	$17.62	$42.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $63.26 / $86.35	Professional		$28.55	$63.26	$86.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $17.87 / $24.48	Professional	26	$9.83	$17.87	$24.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $43.79 / $59.18	Professional	TC	$23.76	$43.79	$59.18
Health New England Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $36.52 / $85.92	Professional		$14.65	$36.52	$85.92
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $18.70 / $18.70 / $18.70	Professional	26	$18.70	$18.70	$18.70
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $18.87 / $100.00 / $100.00	Facility	26	$18.87	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $61.22 / $400.00	Professional		$36.03	$61.22	$400.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.66 / $15.53 / $132.09	Professional	26	$8.66	$15.53	$132.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $27.43 / $47.92 / $139.38	Professional	TC	$27.43	$47.92	$139.38
Tufts Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $36.33 / $59.09	Professional		$28.19	$36.33	$59.09
United Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $50.27 / $104.20	Professional		$33.59	$50.27	$104.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.23 / $11.64 / $23.20	Professional	26	$8.23	$11.64	$23.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.69 / $37.46 / $59.83	Professional	TC	$24.69	$37.46	$59.83