Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.69 / $11.70 / $20.23	Facility	26	$11.69	$11.70	$20.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $58.97 / $171.50	Professional		$49.79	$58.97	$171.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $12.96 / $43.77	Professional	26	$10.70	$12.96	$43.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.04 / $27.42 / $37.61	Professional	52	$23.04	$27.42	$37.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.39 / $43.90 / $66.92	Professional	TC	$36.39	$43.90	$66.92
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $12.50 / $28.86 / $80.00	Facility	26	$12.50	$28.86	$80.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $89.62 / $346.85	Professional		$54.50	$89.62	$346.85
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $18.82 / $74.58	Professional	26	$11.86	$18.82	$74.58
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $42.74 / $70.81 / $272.27	Professional	TC	$42.74	$70.81	$272.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $115.87 / $153.26	Professional		$79.25	$115.87	$153.26
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.33 / $21.06 / $29.00	Professional	26	$13.33	$21.06	$29.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.12 / $95.48 / $141.77	Professional	TC	$57.12	$95.48	$141.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $88.54 / $175.65	Professional		$61.44	$88.54	$175.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $18.39 / $37.68	Professional	26	$13.17	$18.39	$37.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.33 / $70.69 / $146.55	Professional	TC	$48.33	$70.69	$146.55
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $36.45 / $86.72	Professional		$8.38	$36.45	$86.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $130.56 / $176.95	Professional		$69.63	$130.56	$176.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $26.13 / $35.72	Professional	26	$14.34	$26.13	$35.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $55.30 / $101.92 / $137.72	Professional	TC	$55.30	$101.92	$137.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $26.79 / $88.40	Professional		$18.80	$26.79	$88.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $27.92 / $80.00 / $80.00	Facility	26	$27.92	$80.00	$80.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $90.55 / $346.85	Professional		$56.89	$90.55	$346.85
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.63 / $20.27 / $74.58	Professional	26	$12.63	$20.27	$74.58
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $43.90 / $72.90 / $272.27	Professional	TC	$43.90	$72.90	$272.27
Tufts Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $65.09 / $116.80	Professional		$46.65	$65.09	$116.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $84.81 / $154.22	Professional		$54.34	$84.81	$154.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $16.94 / $33.68	Professional	26	$11.92	$16.94	$33.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.70 / $67.41 / $137.28	Professional	TC	$42.70	$67.41	$137.28