Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.66 / $8.66 / $14.99	Facility	26	$8.66	$8.66	$14.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $60.77 / $182.70	Professional		$52.20	$60.77	$182.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $9.28 / $32.61	Professional	26	$7.45	$9.28	$32.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.84 / $28.78 / $39.04	Professional	52	$22.84	$28.78	$39.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.84 / $49.42 / $82.01	Professional	TC	$40.84	$49.42	$82.01
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $9.27 / $21.40 / $80.00	Facility	26	$9.27	$21.40	$80.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $91.44 / $373.69	Professional		$57.10	$91.44	$373.69
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $13.86 / $55.28	Professional	26	$8.48	$13.86	$55.28
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $78.70 / $318.41	Professional	TC	$48.00	$78.70	$318.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $115.30 / $152.49	Professional		$78.84	$115.30	$152.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.38 / $15.13 / $21.52	Professional	26	$9.38	$15.13	$21.52
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $41.71 / $57.66 / $86.98	Professional	52	$41.71	$57.66	$86.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.73 / $97.22 / $125.02	Professional	TC	$67.73	$97.22	$125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $92.06 / $180.22	Professional		$61.58	$92.06	$180.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.43 / $13.37 / $27.95	Professional	26	$9.43	$13.37	$27.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $52.61 / $78.43 / $156.63	Professional	TC	$52.61	$78.43	$156.63
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $37.70 / $88.69	Professional		$6.21	$37.70	$88.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $126.31 / $171.38	Professional		$68.81	$126.31	$171.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $10.65 / $19.39 / $26.52	Professional	26	$10.65	$19.39	$26.52
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $58.16 / $105.85 / $144.85	Professional	TC	$58.16	$105.85	$144.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $19.73 / $88.93	Professional		$9.75	$19.73	$88.93
Health New England Facility/Professional Professional Modifier 26 Low / Median / High Price $20.13 / $20.13 / $20.13	Professional	26	$20.13	$20.13	$20.13
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $20.60 / $80.00 / $80.00	Facility	26	$20.60	$80.00	$80.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $94.07 / $373.69	Professional		$58.19	$94.07	$373.69
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $9.21 / $14.99 / $55.28	Professional	26	$9.21	$14.99	$55.28
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $48.52 / $79.51 / $318.41	Professional	TC	$48.52	$79.51	$318.41
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $65.55 / $115.93	Professional		$44.95	$65.55	$115.93
United Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $85.75 / $167.26	Professional		$57.07	$85.75	$167.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $12.07 / $24.13	Professional	26	$8.38	$12.07	$24.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.97 / $70.48 / $134.58	Professional	TC	$47.97	$70.48	$134.58