Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.30 / $5.30 / $5.30	Facility	26	$5.30	$5.30	$5.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $24.71 / $36.99	Professional		$14.54	$24.71	$36.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.72 / $5.03 / $7.77	Professional	26	$2.72	$5.03	$7.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.80 / $19.69 / $29.22	Professional	TC	$11.80	$19.69	$29.22
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $2.83 / $7.22 / $100.00	Facility	26	$2.83	$7.22	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $33.96 / $161.00	Professional		$17.16	$33.96	$161.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $2.85 / $6.28 / $54.00	Professional	26	$2.85	$6.28	$54.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $14.64 / $28.34 / $129.00	Professional	TC	$14.64	$28.34	$129.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.89	Professional		$18.62	$18.62	$18.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.60 / $4.97 / $7.50	Professional	26	$3.60	$4.97	$7.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $31.06 / $60.47	Professional		$19.17	$31.06	$60.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.56 / $6.01 / $11.42	Professional	26	$3.56	$6.01	$11.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.28 / $24.84 / $48.86	Professional	TC	$15.28	$24.84	$48.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $10.01 / $24.94	Professional		$1.88	$10.01	$24.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $34.08 / $47.41	Professional		$18.43	$34.08	$47.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $3.28 / $5.98 / $8.17	Professional	26	$3.28	$5.98	$8.17
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $15.16 / $27.89 / $37.76	Professional	TC	$15.16	$27.89	$37.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Professional		$9.34	$9.34	$9.34
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $7.22 / $100.00 / $100.00	Facility	26	$7.22	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $39.07 / $161.00	Professional		$22.71	$39.07	$161.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $4.45 / $7.58 / $54.00	Professional	26	$4.45	$7.58	$54.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $18.05 / $30.95 / $129.00	Professional	TC	$18.05	$30.95	$129.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $31.97 / $55.06	Professional		$20.43	$31.97	$55.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.16 / $6.23 / $10.30	Professional	26	$4.16	$6.23	$10.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.05 / $24.68 / $46.13	Professional	TC	$16.05	$24.68	$46.13