Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $64.57 / $158.49	Facility	26	$30.20	$64.57	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $309.03	Professional		$70.79	$112.20	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $70.79 / $194.98	Professional	TC	$41.69	$70.79	$194.98
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $251.19 / $251.19	Facility	26	$93.33	$251.19	$251.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $1,148.15	Professional		$97.72	$181.97	$1,148.15
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $120.23 / $933.25	Professional	TC	$63.10	$120.23	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $331.13	Professional		$87.10	$177.83	$331.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $134.90 / $229.09	Professional	TC	$58.88	$134.90	$229.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $245.47	Professional		$53.70	$112.20	$245.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $346.74	Professional		$114.82	$190.55	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $114.82 / $199.53	Professional	TC	$72.44	$114.82	$199.53
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $251.19 / $251.19	Facility	26	$93.33	$251.19	$251.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $1,148.15	Professional		$97.72	$181.97	$1,148.15
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $120.23 / $933.25	Professional	TC	$63.10	$120.23	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $338.84	Professional		$109.65	$181.97	$338.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $109.65 / $213.80	Professional	TC	$66.07	$109.65	$213.80