Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.14 / $27.14 / $46.84	Facility	26	$27.14	$27.14	$46.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $62.99 / $127.01	Professional		$52.47	$62.99	$127.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $29.82 / $80.92	Professional	26	$25.14	$29.82	$80.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.81 / $34.90 / $54.61	Professional	TC	$27.81	$34.90	$54.61
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.98 / $64.69 / $133.05	Facility	26	$28.98	$64.69	$133.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $112.49 / $717.26	Professional		$58.03	$112.49	$717.26
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $46.69 / $340.55	Professional	26	$27.62	$46.69	$340.55
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.26 / $61.02 / $563.89	Professional	TC	$31.26	$61.02	$563.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.76 / $50.81 / $68.62	Professional	26	$36.76	$50.81	$68.62
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.08 / $75.80 / $114.37	Professional	TC	$46.08	$75.80	$114.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $100.46 / $207.43	Professional		$64.78	$100.46	$207.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.58 / $84.34	Professional	26	$29.51	$43.58	$84.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $57.34 / $116.70	Professional	TC	$35.61	$57.34	$116.70
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $41.15 / $91.22	Professional		$18.30	$41.15	$91.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $141.63 / $199.06	Professional		$71.56	$141.63	$199.06
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.18 / $60.31 / $82.64	Professional	26	$33.18	$60.31	$82.64
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $44.65 / $82.00 / $111.21	Professional	TC	$44.65	$82.00	$111.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $64.06 / $86.11	Professional		$43.52	$64.06	$86.11
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $64.69 / $133.05 / $133.05	Facility	26	$64.69	$133.05	$133.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $116.06 / $717.26	Professional		$62.41	$116.06	$717.26
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $29.23 / $52.17 / $340.55	Professional	26	$29.23	$52.17	$340.55
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $31.95 / $60.84 / $563.89	Professional	TC	$31.95	$60.84	$563.89
United Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $94.39 / $220.78	Professional		$58.07	$94.39	$220.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.17 / $39.81 / $105.12	Professional	26	$28.17	$39.81	$105.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $47.09 / $97.16	Professional	TC	$29.39	$47.09	$97.16