Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.35 / $21.35 / $79.43	Facility	26	$21.35	$21.35	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $101.97 / $147.88	Professional		$80.30	$101.97	$147.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $27.28 / $71.86	Professional	26	$21.35	$27.28	$71.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.95 / $79.47 / $114.91	Professional	TC	$58.95	$79.47	$114.91
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.28 / $68.65 / $136.56	Facility	26	$64.28	$68.65	$136.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $179.46 / $873.78	Professional		$111.27	$179.46	$873.78
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.00 / $42.45 / $198.13	Professional	26	$25.00	$42.45	$198.13
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $87.11 / $157.60 / $695.99	Professional	TC	$87.11	$157.60	$695.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $26.20 / $40.70	Professional		$15.93	$26.20	$40.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.85 / $53.24 / $70.75	Professional	26	$31.85	$53.24	$70.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $195.28 / $428.30	Professional		$113.45	$195.28	$428.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.75 / $45.51 / $83.39	Professional	26	$28.75	$45.51	$83.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.54 / $154.41 / $340.13	Professional	TC	$92.54	$154.41	$340.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $143.53 / $238.80	Professional		$35.58	$143.53	$238.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.70 / $315.16 / $441.35	Professional		$177.70	$315.16	$441.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.00 / $68.48 / $88.91	Professional	26	$34.00	$68.48	$88.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $119.19 / $240.05 / $311.69	Professional	TC	$119.19	$240.05	$311.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $52.67 / $206.61	Professional		$47.23	$52.67	$206.61
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $64.28 / $136.56 / $136.56	Facility	26	$64.28	$136.56	$136.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $182.14 / $873.78	Professional		$118.97	$182.14	$873.78
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $28.09 / $44.21 / $198.13	Professional	26	$28.09	$44.21	$198.13
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $94.81 / $157.60 / $695.99	Professional	TC	$94.81	$157.60	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $162.80 / $301.62	Professional		$111.68	$162.80	$301.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.80 / $39.29 / $69.93	Professional	26	$26.80	$39.29	$69.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.94 / $124.33 / $241.26	Professional	TC	$86.94	$124.33	$241.26