Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $19.95 / $79.43	Facility	26	$15.14	$19.95	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $295.12	Professional		$67.61	$117.49	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $30.20 / $77.62	Professional	26	$16.98	$30.20	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $75.86 / $199.53	Professional	TC	$51.29	$75.86	$199.53
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $50.12 / $128.82	Facility	26	$21.88	$50.12	$128.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $354.81	Professional		$79.43	$120.23	$354.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.70 / $128.82	Professional	26	$17.38	$25.70	$128.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $97.72 / $512.86	Professional	TC	$63.10	$97.72	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $52.48	Professional	26	$22.91	$38.90	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $275.42	Professional		$77.62	$141.25	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $30.20 / $58.88	Professional	26	$17.38	$30.20	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $112.20 / $223.87	Professional	TC	$60.26	$112.20	$223.87
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $120.23 / $199.53	Professional		$26.30	$120.23	$199.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $295.12	Professional		$102.33	$162.18	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $54.95	Professional	26	$20.89	$30.90	$54.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $120.23 / $223.87	Professional	TC	$81.28	$120.23	$223.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $50.12 / $128.82	Facility	26	$21.88	$50.12	$128.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $630.96	Professional		$81.28	$123.03	$630.96
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $25.70 / $128.82	Professional	26	$17.38	$25.70	$128.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $97.72 / $512.86	Professional	TC	$63.10	$97.72	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $275.42	Professional		$87.10	$128.82	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $27.54 / $53.70	Professional	26	$19.50	$27.54	$53.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $100.00 / $218.78	Professional	TC	$67.61	$100.00	$218.78