Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $45.71	Facility	26	$21.88	$21.88	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $147.91	Professional		$30.90	$41.69	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $104.71	Professional	26	$20.89	$30.90	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $12.02 / $28.84	Professional	TC	$10.00	$12.02	$28.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $52.48 / $138.04	Facility	26	$16.98	$52.48	$138.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $208.93	Professional		$31.62	$47.86	$208.93
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $30.90 / $138.04	Professional	26	$20.42	$30.90	$138.04
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.38 / $70.79	Professional	TC	$10.72	$17.38	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $93.33	Professional		$40.74	$67.61	$93.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $41.69 / $56.23	Professional	26	$24.55	$41.69	$56.23
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $15.85 / $23.99 / $43.65	Professional	52	$15.85	$23.99	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $95.50	Professional		$36.31	$50.12	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $32.36 / $63.10	Professional	26	$23.44	$32.36	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $18.20 / $34.67	Professional	TC	$12.30	$18.20	$34.67
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $24.55 / $54.95	Professional		$10.72	$24.55	$54.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $53.70 / $100.00	Professional		$25.70	$53.70	$100.00
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $42.66 / $61.66	Professional	26	$26.92	$42.66	$61.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $21.38 / $38.02	Professional	TC	$14.79	$21.38	$38.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $70.79 / $173.78	Professional		$29.51	$70.79	$173.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $52.48 / $138.04	Facility	26	$16.98	$52.48	$138.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $208.93	Professional		$32.36	$48.98	$208.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $138.04	Professional	26	$20.89	$30.90	$138.04
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.38 / $70.79	Professional	TC	$10.72	$17.38	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $100.00	Professional		$32.36	$50.12	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $31.62 / $61.66	Professional	26	$21.38	$31.62	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.78 / $38.02	Professional	TC	$10.72	$17.78	$38.02