Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.92 / $30.92 / $113.86	Facility	26	$30.92	$30.92	$113.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $104.24 / $140.18	Professional		$71.25	$104.24	$140.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.32 / $65.29 / $100.62	Professional	TC	$40.32	$65.29	$100.62
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $92.82 / $162.94 / $195.84	Facility	26	$92.82	$162.94	$195.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $214.99 / $1,147.46	Professional		$103.27	$214.99	$1,147.46
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $63.96 / $158.56 / $936.75	Professional	TC	$63.96	$158.56	$936.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $204.94 / $348.48	Professional		$97.01	$204.94	$348.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.42 / $147.22 / $232.22	Professional	TC	$63.42	$147.22	$232.22
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $105.58 / $202.74	Professional		$51.12	$105.58	$202.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $263.08 / $355.16	Professional		$132.71	$263.08	$355.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.97 / $167.47 / $219.59	Professional	TC	$83.97	$167.47	$219.59
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $94.01 / $195.84 / $195.84	Facility	26	$94.01	$195.84	$195.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $223.84 / $1,147.46	Professional		$113.83	$223.84	$1,147.46
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $68.72 / $158.60 / $936.75	Professional	TC	$68.72	$158.60	$936.75
United Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $169.12 / $312.42	Professional		$107.97	$169.12	$312.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.06 / $115.68 / $214.13	Professional	TC	$63.06	$115.68	$214.13