Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.48 / $22.48 / $22.48	Facility	26	$22.48	$22.48	$22.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $36.08 / $64.79	Professional		$29.99	$36.08	$64.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $23.92 / $70.00	Professional	26	$19.89	$23.92	$70.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.67 / $17.34 / $23.88	Professional	52	$14.67	$17.34	$23.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.17 / $12.19 / $18.39	Professional	TC	$10.17	$12.19	$18.39
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $23.22 / $51.77 / $106.50	Facility	26	$23.22	$51.77	$106.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $52.41 / $209.51	Professional		$33.70	$52.41	$209.51
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.90 / $34.50 / $138.46	Professional	26	$21.90	$34.50	$138.46
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $11.14 / $18.94 / $71.05	Professional	TC	$11.14	$18.94	$71.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $51.95 / $74.77	Professional		$17.80	$51.95	$74.77
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.84 / $38.71 / $52.22	Professional	26	$26.84	$38.71	$52.22
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $24.26 / $33.75 / $50.61	Professional	52	$24.26	$33.75	$50.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $52.68 / $111.68	Professional		$37.03	$52.68	$111.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.01 / $33.86 / $69.97	Professional	26	$24.01	$33.86	$69.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.72 / $18.59 / $40.27	Professional	TC	$12.72	$18.59	$40.27
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $21.87 / $49.89	Professional		$9.32	$21.87	$49.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $76.69 / $107.45	Professional		$35.86	$76.69	$107.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.62 / $48.89 / $66.30	Professional	26	$26.62	$48.89	$66.30
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $15.56 / $28.35 / $38.75	Professional	TC	$15.56	$28.35	$38.75
Health New England Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $44.16 / $70.95	Professional		$29.30	$44.16	$70.95
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $51.77 / $106.50 / $106.50	Facility	26	$51.77	$106.50	$106.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $54.84 / $209.51	Professional		$34.49	$54.84	$209.51
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.26 / $37.53 / $138.46	Professional	26	$23.26	$37.53	$138.46
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $11.34 / $19.05 / $71.05	Professional	TC	$11.34	$19.05	$71.05
Tufts Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $54.34 / $66.89	Professional		$37.34	$54.34	$66.89
United Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $50.66 / $94.62	Professional		$33.95	$50.66	$94.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.54 / $31.47 / $60.37	Professional	26	$21.54	$31.47	$60.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.14 / $16.18 / $33.86	Professional	TC	$11.14	$16.18	$33.86