Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $5.01 / $5.01	Facility	26	$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $45.71	Professional		$12.88	$22.91	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.98 / $13.18	Professional	26	$2.00	$3.98	$13.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $16.98 / $30.90	Professional	TC	$10.96	$16.98	$30.90
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $6.46 / $100.00	Facility	26	$2.04	$6.46	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $162.18	Professional		$15.85	$31.62	$162.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $6.17 / $36.31	Professional	26	$2.82	$6.17	$36.31
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $25.70 / $128.82	Professional	TC	$14.13	$25.70	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $3.02 / $5.13 / $6.92	Professional	26	$3.02	$5.13	$6.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $56.23	Professional		$19.05	$28.84	$56.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.47 / $6.03 / $11.22	Professional	26	$3.47	$6.03	$11.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $22.91 / $46.77	Professional	TC	$15.14	$22.91	$46.77
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $11.75 / $29.51	Professional		$2.09	$11.75	$29.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $46.77	Professional		$16.98	$30.90	$46.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $2.75 / $5.01 / $7.59	Professional	26	$2.75	$5.01	$7.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $22.91 / $36.31	Professional	TC	$14.13	$22.91	$36.31
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $2.04 / $6.46 / $100.00	Facility	26	$2.04	$6.46	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $31.62 / $162.18	Professional		$16.22	$31.62	$162.18
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $2.82 / $6.17 / $36.31	Professional	26	$2.82	$6.17	$36.31
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $25.70 / $128.82	Professional	TC	$14.13	$25.70	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $51.29	Professional		$19.95	$31.62	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.31 / $6.03 / $9.33	Professional	26	$3.31	$6.03	$9.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $25.12 / $38.90	Professional	TC	$16.22	$25.12	$38.90