Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.13 / $28.18 / $56.07	Facility	26	$15.13	$28.18	$56.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $83.50 / $166.90	Professional		$64.26	$83.50	$166.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.13 / $20.17 / $43.89	Professional	26	$15.13	$20.17	$43.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.12 / $62.67 / $135.65	Professional	TC	$49.12	$62.67	$135.65
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.20 / $49.66 / $98.94	Facility	26	$47.20	$49.66	$98.94
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $132.16 / $637.19	Professional		$86.20	$132.16	$637.19
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.96 / $27.83 / $127.82	Professional	26	$18.96	$27.83	$127.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $67.09 / $108.96 / $509.36	Professional	TC	$67.09	$108.96	$509.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.01 / $38.46 / $51.12	Professional	26	$23.01	$38.46	$51.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $156.44 / $318.67	Professional		$95.61	$156.44	$318.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.28 / $33.04 / $59.74	Professional	26	$21.28	$33.04	$59.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.15 / $123.84 / $258.93	Professional	TC	$73.15	$123.84	$258.93
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $115.12 / $185.59	Professional		$25.79	$115.12	$185.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $243.35 / $315.98	Professional		$120.83	$243.35	$315.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $24.58 / $49.02 / $64.28	Professional	26	$24.58	$49.02	$64.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $96.26 / $191.98 / $251.73	Professional	TC	$96.26	$191.98	$251.73
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $47.20 / $98.94 / $98.94	Facility	26	$47.20	$98.94	$98.94
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $132.16 / $637.19	Professional		$89.97	$132.16	$637.19
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.65 / $28.66 / $127.82	Professional	26	$20.65	$28.66	$127.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $72.22 / $104.60 / $509.36	Professional	TC	$72.22	$104.60	$509.36
United Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $126.66 / $233.85	Professional		$89.82	$126.66	$233.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $27.57 / $64.69	Professional	26	$20.05	$27.57	$64.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.59 / $98.47 / $215.12	Professional	TC	$69.59	$98.47	$215.12