Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $27.54	Facility	26	$18.20	$18.20	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $363.08	Professional		$53.70	$91.20	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $35.48 / $120.23	Professional	26	$16.98	$35.48	$120.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $28.84 / $54.95 / $263.03	Professional	50	$28.84	$54.95	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $44.67 / $91.20	Professional	TC	$36.31	$44.67	$91.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $57.54 / $114.82	Facility	26	$39.81	$57.54	$114.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $416.87	Professional		$57.54	$95.50	$416.87
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.18 / $114.82	Professional	26	$16.98	$28.18	$114.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $67.61 / $302.00	Professional	TC	$40.74	$67.61	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $169.82	Professional		$74.13	$125.89	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $35.48 / $47.86	Professional	26	$20.89	$35.48	$47.86
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $37.15 / $63.10 / $91.20	Professional	52	$37.15	$63.10	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $91.20 / $120.23	Professional	TC	$53.70	$91.20	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $204.17	Professional		$64.57	$107.15	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.20 / $57.54	Professional	26	$19.05	$30.20	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $77.62 / $147.91	Professional	TC	$45.71	$77.62	$147.91
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $44.67 / $107.15	Professional		$15.14	$44.67	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $181.97	Professional		$66.07	$114.82	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $32.36 / $50.12	Professional	26	$19.05	$32.36	$50.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $83.18 / $128.82	Professional	TC	$47.86	$83.18	$128.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $107.15	Professional		$32.36	$40.74	$107.15
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $57.54 / $114.82	Facility	26	$39.81	$57.54	$114.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $416.87	Professional		$57.54	$95.50	$416.87
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $29.51 / $114.82	Professional	26	$16.98	$29.51	$114.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $70.79 / $302.00	Professional	TC	$40.74	$70.79	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $186.21	Professional		$64.57	$102.33	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $30.90 / $56.23	Professional	26	$19.05	$30.90	$56.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $74.13 / $134.90	Professional	TC	$44.67	$74.13	$134.90