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 $35.74 / $41.46 / $63.23	Professional		$35.74	$41.46	$63.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $12.45 / $17.36	Professional	26	$10.78	$12.45	$17.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $29.73 / $40.29	Professional	TC	$24.95	$29.73	$40.29
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $12.90 / $29.75 / $80.00	Facility	26	$12.90	$29.75	$80.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $68.43 / $251.93	Professional		$41.50	$68.43	$251.93
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $12.16 / $19.35 / $76.73	Professional	26	$12.16	$19.35	$76.73
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $50.12 / $175.19	Professional	TC	$29.89	$50.12	$175.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.38 / $22.98 / $30.55	Professional	26	$16.38	$22.98	$30.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.40 / $66.73 / $135.02	Professional		$47.40	$66.73	$135.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $18.60 / $38.88	Professional	26	$13.54	$18.60	$38.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.75 / $47.84 / $94.70	Professional	TC	$33.75	$47.84	$94.70
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $28.02 / $65.93	Professional		$8.63	$28.02	$65.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $100.00 / $140.09	Professional		$49.25	$100.00	$140.09
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.75 / $26.81 / $36.74	Professional	26	$14.75	$26.81	$36.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.72 / $72.22 / $98.95	Professional	TC	$39.72	$72.22	$98.95
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $28.55 / $80.00 / $80.00	Facility	26	$28.55	$80.00	$80.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $70.15 / $251.93	Professional		$43.58	$70.15	$251.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $20.88 / $76.73	Professional	26	$12.98	$20.88	$76.73
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $30.89 / $52.43 / $175.19	Professional	TC	$30.89	$52.43	$175.19
United Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $64.02 / $119.02	Professional		$41.50	$64.02	$119.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.54 / $17.14 / $32.42	Professional	26	$12.54	$17.14	$32.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.76 / $44.16 / $87.72	Professional	TC	$28.76	$44.16	$87.72