Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.01 / $25.33 / $25.33	Facility	26	$18.01	$25.33	$25.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $65.97 / $339.19	Professional		$54.52	$65.97	$339.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.39 / $19.60 / $80.59	Professional	26	$16.39	$19.60	$80.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $200.26 / $200.26 / $200.26	Professional	50	$200.26	$200.26	$200.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.99 / $31.25 / $41.77	Professional	52	$25.99	$31.25	$41.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.89 / $44.26 / $78.78	Professional	TC	$37.89	$44.26	$78.78
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.76 / $44.13 / $90.11	Facility	26	$39.76	$44.13	$90.11
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $109.68 / $415.00	Professional		$62.29	$109.68	$415.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $33.25 / $115.58	Professional	26	$18.04	$33.25	$115.58
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $83.28 / $299.48	Professional	TC	$44.75	$83.28	$299.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $121.71 / $164.37	Professional		$73.98	$121.71	$164.37
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.90 / $34.38 / $48.86	Professional	26	$20.90	$34.38	$48.86
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $40.92 / $60.87 / $82.20	Professional	52	$40.92	$60.87	$82.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.23 / $88.75 / $117.94	Professional	TC	$63.23	$88.75	$117.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $110.58 / $213.43	Professional		$65.00	$110.58	$213.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $34.88 / $61.39	Professional	26	$19.57	$34.88	$61.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.30 / $83.78 / $150.76	Professional	TC	$48.30	$83.78	$150.76
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $38.86 / $91.06	Professional		$13.49	$38.86	$91.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $138.36 / $185.57	Professional		$62.32	$138.36	$185.57
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.12 / $41.96 / $55.68	Professional	26	$22.12	$41.96	$55.68
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.20 / $97.13 / $130.51	Professional	TC	$51.20	$97.13	$130.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $55.10 / $155.32	Professional		$29.01	$55.10	$155.32
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $42.01 / $42.01 / $90.11	Facility	26	$42.01	$42.01	$90.11
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $115.00 / $415.00	Professional		$69.62	$115.00	$415.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.79 / $35.36 / $115.58	Professional	26	$19.79	$35.36	$115.58
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $47.81 / $86.99 / $299.48	Professional	TC	$47.81	$86.99	$299.48
United Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $92.85 / $184.82	Professional		$62.99	$92.85	$184.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.13 / $29.41 / $55.09	Professional	26	$19.13	$29.41	$55.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.75 / $67.86 / $135.72	Professional	TC	$44.75	$67.86	$135.72