Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $8.71 / $18.62	Facility	26	$7.94	$8.71	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $251.19	Professional		$51.29	$67.61	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $34.67	Professional	26	$7.94	$10.96	$34.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $52.48 / $114.82	Professional	TC	$41.69	$52.48	$114.82
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $21.38 / $79.43	Facility	26	$9.33	$21.38	$79.43
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $371.54	Professional		$54.95	$85.11	$371.54
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $12.30 / $54.95	Professional	26	$8.13	$12.30	$54.95
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $72.44 / $316.23	Professional	TC	$45.71	$72.44	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $158.49	Professional		$70.79	$120.23	$158.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $22.39	Professional	26	$10.00	$16.60	$22.39
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $34.67 / $60.26 / $79.43	Professional	52	$34.67	$60.26	$79.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $102.33 / $138.04	Professional	TC	$60.26	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $169.82	Professional		$60.26	$87.10	$169.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $12.88 / $25.12	Professional	26	$9.12	$12.88	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $74.13 / $147.91	Professional	TC	$50.12	$74.13	$147.91
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $43.65 / $107.15	Professional		$7.08	$43.65	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $169.82	Professional		$64.57	$112.20	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $16.60 / $25.12	Professional	26	$9.55	$16.60	$25.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $102.33 / $147.91	Professional	TC	$54.95	$102.33	$147.91
Health New England Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $26.92 / $204.17	Professional		$10.47	$26.92	$204.17
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $21.38 / $79.43	Facility	26	$9.33	$21.38	$79.43
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $371.54	Professional		$54.95	$85.11	$371.54
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $12.30 / $54.95	Professional	26	$8.32	$12.30	$54.95
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $72.44 / $316.23	Professional	TC	$46.77	$72.44	$316.23
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $112.20	Professional		$44.67	$63.10	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $169.82	Professional		$54.95	$87.10	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.88 / $25.12	Professional	26	$8.51	$12.88	$25.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $74.13 / $144.54	Professional	TC	$46.77	$74.13	$144.54