Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.48 / $26.43 / $75.45	Facility	26	$20.48	$26.43	$75.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $108.85 / $213.72	Professional		$79.43	$108.85	$213.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.48 / $25.68 / $42.77	Professional	26	$20.48	$25.68	$42.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.95 / $83.70 / $170.94	Professional	TC	$58.95	$83.70	$170.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $62.68 / $65.95 / $131.81	Facility	26	$62.68	$65.95	$131.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $181.48 / $859.12	Professional		$111.22	$181.48	$859.12
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.31 / $40.53 / $211.35	Professional	26	$24.31	$40.53	$211.35
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $88.91 / $166.82 / $689.44	Professional	TC	$88.91	$166.82	$689.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $25.23 / $39.20	Professional		$15.34	$25.23	$39.20
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.59 / $51.28 / $68.16	Professional	26	$35.59	$51.28	$68.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $204.82 / $429.80	Professional		$117.77	$204.82	$429.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.41 / $44.45 / $79.31	Professional	26	$28.41	$44.45	$79.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $94.90 / $163.60 / $338.67	Professional	TC	$94.90	$163.60	$338.67
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $151.53 / $253.42	Professional		$34.36	$151.53	$253.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $320.06 / $429.02	Professional		$158.91	$320.06	$429.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $32.77 / $65.36 / $85.70	Professional	26	$32.77	$65.36	$85.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $126.16 / $251.61 / $329.92	Professional	TC	$126.16	$251.61	$329.92
Health New England Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $50.79 / $206.14	Professional		$44.28	$50.79	$206.14
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $62.68 / $131.81 / $131.81	Facility	26	$62.68	$131.81	$131.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $118.37 / $183.51 / $859.12	Professional		$118.37	$183.51	$859.12
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $26.85 / $42.27 / $211.35	Professional	26	$26.85	$42.27	$211.35
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $94.15 / $166.82 / $689.44	Professional	TC	$94.15	$166.82	$689.44
United Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $170.93 / $395.81	Professional		$117.61	$170.93	$395.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.08 / $36.04 / $64.42	Professional	26	$26.08	$36.04	$64.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.91 / $126.23 / $251.62	Professional	TC	$86.91	$126.23	$251.62