Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.70 / $11.70 / $11.70	Facility	26	$11.70	$11.70	$11.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $44.99 / $80.43	Professional		$37.33	$44.99	$80.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.83 / $12.75 / $34.29	Professional	26	$10.83	$12.75	$34.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.86 / $32.83 / $55.40	Professional	TC	$26.86	$32.83	$55.40
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 $44.39 / $71.23 / $277.95	Professional		$44.39	$71.23	$277.95
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 $31.76 / $52.60 / $203.39	Professional	TC	$31.76	$52.60	$203.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $91.33 / $121.16	Professional		$66.27	$91.33	$121.16
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.86 / $21.93 / $29.61	Professional	26	$15.86	$21.93	$29.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.66 / $68.41 / $87.97	Professional	TC	$47.66	$68.41	$87.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $70.50 / $139.47	Professional		$48.00	$70.50	$139.47
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 $34.86 / $52.17 / $109.75	Professional	TC	$34.86	$52.17	$109.75
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $28.89 / $67.97	Professional		$8.38	$28.89	$67.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $102.32 / $141.13	Professional		$55.30	$102.32	$141.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $26.10 / $35.72	Professional	26	$14.34	$26.10	$35.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.96 / $74.63 / $102.02	Professional	TC	$40.96	$74.63	$102.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $24.52 / $51.19	Professional		$10.02	$24.52	$51.19
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $27.32 / $27.32 / $27.32	Professional	26	$27.32	$27.32	$27.32
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 $45.85 / $72.84 / $277.95	Professional		$45.85	$72.84	$277.95
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 $32.77 / $54.23 / $203.39	Professional	TC	$32.77	$54.23	$203.39
Tufts Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $51.49 / $92.39	Professional		$36.50	$51.49	$92.39
United Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $66.58 / $129.74	Professional		$43.05	$66.58	$129.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.86 / $16.57 / $32.50	Professional	26	$11.86	$16.57	$32.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.97 / $46.61 / $96.06	Professional	TC	$30.97	$46.61	$96.06