Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.09 / $14.09 / $14.09	Facility	26	$14.09	$14.09	$14.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $40.74 / $107.86	Professional		$34.61	$40.74	$107.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $15.03 / $50.38	Professional	26	$12.53	$15.03	$50.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.96 / $25.65 / $37.97	Professional	TC	$21.96	$25.65	$37.97
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.03 / $33.53 / $100.00	Facility	26	$15.03	$33.53	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $61.59 / $348.00	Professional		$36.34	$61.59	$348.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $24.22 / $89.60	Professional	26	$14.29	$24.22	$89.60
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.43 / $41.69 / $198.00	Professional	TC	$24.43	$41.69	$198.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $75.48 / $103.93	Professional		$50.68	$75.48	$103.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $25.87 / $34.85	Professional	26	$17.78	$25.87	$34.85
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.79 / $53.06 / $78.78	Professional	TC	$37.79	$53.06	$78.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $61.71 / $120.81	Professional		$41.06	$61.71	$120.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.30 / $22.31 / $45.31	Professional	26	$15.30	$22.31	$45.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $39.85 / $80.12	Professional	TC	$24.95	$39.85	$80.12
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $24.75 / $57.14	Professional		$9.86	$24.75	$57.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $81.80 / $119.35	Professional		$30.72	$81.80	$119.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $31.30 / $42.84	Professional	26	$17.20	$31.30	$42.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $33.79 / $60.15 / $77.31	Professional	TC	$33.79	$60.15	$77.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $55.43 / $117.00	Professional		$22.01	$55.43	$117.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $33.53 / $100.00 / $100.00	Facility	26	$33.53	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $67.88 / $348.00	Professional		$39.70	$67.88	$348.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.16 / $27.19 / $89.60	Professional	26	$15.16	$27.19	$89.60
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.54 / $47.52 / $198.00	Professional	TC	$24.54	$47.52	$198.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $56.29 / $105.76	Professional		$38.50	$56.29	$105.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.19 / $20.32 / $39.08	Professional	26	$14.19	$20.32	$39.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.22 / $34.97 / $68.52	Professional	TC	$22.22	$34.97	$68.52