Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.40 / $12.40 / $17.32	Facility	26	$12.40	$12.40	$17.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $65.73 / $231.01	Professional		$38.76	$65.73	$231.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $15.35 / $47.30	Professional	26	$9.90	$15.35	$47.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.93 / $48.89 / $74.03	Professional	TC	$27.93	$48.89	$74.03
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $23.82 / $100.00	Facility	26	$10.72	$23.82	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $88.50 / $632.00	Professional		$44.88	$88.50	$632.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $20.69 / $229.91	Professional	26	$10.72	$20.69	$229.91
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.56 / $68.79 / $266.13	Professional	TC	$34.56	$68.79	$266.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $75.48 / $105.00	Professional		$53.09	$75.48	$105.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.40 / $17.47 / $24.85	Professional	26	$12.40	$17.47	$24.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $41.45 / $60.41 / $76.51	Professional	TC	$41.45	$60.41	$76.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $78.08 / $151.28	Professional		$48.75	$78.08	$151.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $18.78 / $34.24	Professional	26	$11.73	$18.78	$34.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.38 / $60.16 / $119.79	Professional	TC	$36.38	$60.16	$119.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $25.30 / $62.38	Professional		$7.18	$25.30	$62.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $88.01 / $123.22	Professional		$43.33	$88.01	$123.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $22.05 / $30.61	Professional	26	$12.29	$22.05	$30.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.64 / $65.45 / $88.76	Professional	TC	$35.64	$65.45	$88.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $23.73 / $99.14	Professional		$12.08	$23.73	$99.14
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $23.82 / $100.00 / $100.00	Facility	26	$23.82	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $99.11 / $632.00	Professional		$59.54	$99.11	$632.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.35 / $22.72 / $229.91	Professional	26	$13.35	$22.72	$229.91
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $45.02 / $77.54 / $266.13	Professional	TC	$45.02	$77.54	$266.13
Tufts Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $58.25 / $92.83	Professional		$41.64	$58.25	$92.83
United Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $84.07 / $164.24	Professional		$53.41	$84.07	$164.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.29 / $17.23 / $29.68	Professional	26	$12.29	$17.23	$29.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.69 / $64.79 / $97.92	Professional	TC	$40.69	$64.79	$97.92