Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.89 / $35.48 / $112.20	Facility	26	$20.89	$35.48	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $331.13	Professional		$81.28	$123.03	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.90 / $104.71	Professional	26	$20.89	$30.90	$104.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $95.50 / $239.88	Professional	TC	$66.07	$95.50	$239.88
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $177.83 / $177.83	Facility	26	$66.07	$177.83	$177.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $870.96	Professional		$104.71	$165.96	$870.96
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $199.53	Professional	26	$23.99	$38.90	$199.53
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $131.83 / $691.83	Professional	TC	$83.18	$131.83	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $53.70 / $72.44	Professional	26	$31.62	$53.70	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $363.08	Professional		$95.50	$177.83	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $42.66 / $83.18	Professional	26	$24.55	$42.66	$83.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $144.54 / $295.12	Professional	TC	$81.28	$144.54	$295.12
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $158.49 / $269.15	Professional		$37.15	$158.49	$269.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $426.58	Professional		$138.04	$223.87	$426.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $44.67 / $79.43	Professional	26	$28.84	$44.67	$79.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $165.96 / $295.12	Professional	TC	$107.15	$165.96	$295.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $177.83 / $177.83	Facility	26	$66.07	$177.83	$177.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $870.96	Professional		$104.71	$165.96	$870.96
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $199.53	Professional	26	$23.99	$38.90	$199.53
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $134.90 / $691.83	Professional	TC	$83.18	$134.90	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $371.54	Professional		$112.20	$165.96	$371.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.90 / $77.62	Professional	26	$26.92	$38.90	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $128.82 / $288.40	Professional	TC	$87.10	$128.82	$288.40