Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.39 / $27.39 / $53.10	Facility	26	$27.39	$27.39	$53.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $52.97 / $77.73	Professional		$40.27	$52.97	$77.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.82 / $29.31 / $45.41	Professional	26	$25.82	$29.31	$45.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.41 / $25.58 / $37.67	Professional	TC	$17.41	$25.58	$37.67
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.88 / $69.73 / $141.63	Facility	26	$53.88	$69.73	$141.63
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $75.73 / $334.42	Professional		$51.46	$75.73	$334.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.58 / $39.88 / $182.49	Professional	26	$27.58	$39.88	$182.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.17 / $36.10 / $151.88	Professional	TC	$22.17	$36.10	$151.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $50.88 / $108.07	Professional		$21.50	$50.88	$108.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.44 / $54.59 / $70.67	Professional	26	$41.44	$54.59	$70.67
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.28 / $30.69 / $55.31	Professional	TC	$27.28	$30.69	$55.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $66.27	Professional		$39.28	$39.28	$66.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.29 / $25.29 / $36.34	Professional	26	$25.29	$25.29	$36.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.99 / $13.99 / $29.93	Professional	TC	$13.99	$13.99	$29.93
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $41.82 / $72.86	Professional		$21.66	$41.82	$72.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $51.68 / $178.40	Professional		$23.32	$51.68	$178.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $34.90 / $97.83	Professional	26	$17.61	$34.90	$97.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $9.83 / $19.48 / $80.56	Professional	TC	$9.83	$19.48	$80.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $51.58 / $107.06	Professional		$31.65	$51.58	$107.06
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $53.88 / $141.63 / $141.63	Facility	26	$53.88	$141.63	$141.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $75.73 / $334.42	Professional		$56.72	$75.73	$334.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $30.68 / $40.79 / $182.49	Professional	26	$30.68	$40.79	$182.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $25.48 / $36.10 / $151.88	Professional	TC	$25.48	$36.10	$151.88
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $58.81 / $99.48	Professional		$44.00	$58.81	$99.48
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $72.72 / $125.12	Professional		$55.94	$72.72	$125.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.24 / $37.54 / $67.50	Professional	26	$28.24	$37.54	$67.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.48 / $35.01 / $63.18	Professional	TC	$22.48	$35.01	$63.18