Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.12 / $28.06 / $63.67	Facility	26	$17.12	$28.06	$63.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $91.09 / $171.03	Professional		$69.95	$91.09	$171.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.12 / $23.76 / $67.90	Professional	26	$17.12	$23.76	$67.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $68.06 / $127.53	Professional	TC	$52.84	$68.06	$127.53
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $70.83 / $139.60	Facility	26	$67.28	$70.83	$139.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $139.43 / $648.50	Professional		$78.37	$139.43	$648.50
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.03 / $42.35 / $180.32	Professional	26	$23.03	$42.35	$180.32
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $56.98 / $109.90 / $468.12	Professional	TC	$56.98	$109.90	$468.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $13.57 / $20.75	Professional		$9.42	$13.57	$20.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.38 / $54.88 / $72.15	Professional	26	$41.38	$54.88	$72.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $158.06 / $320.49	Professional		$81.62	$158.06	$320.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.76 / $42.37 / $85.86	Professional	26	$24.76	$42.37	$85.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.87 / $119.69 / $235.09	Professional	TC	$56.87	$119.69	$235.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $100.89 / $180.39	Professional		$36.47	$100.89	$180.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $235.26 / $313.54	Professional		$117.96	$235.26	$313.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.82 / $69.03 / $91.06	Professional	26	$34.82	$69.03	$91.06
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.15 / $165.83 / $217.45	Professional	TC	$83.15	$165.83	$217.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $49.68 / $221.85	Professional		$41.43	$49.68	$221.85
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $67.28 / $139.60 / $139.60	Facility	26	$67.28	$139.60	$139.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $144.90 / $648.50	Professional		$84.19	$144.90	$648.50
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $24.25 / $44.59 / $180.32	Professional	26	$24.25	$44.59	$180.32
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $63.41 / $111.39 / $468.12	Professional	TC	$63.41	$111.39	$468.12
United Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $118.46 / $321.73	Professional		$80.03	$118.46	$321.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.52 / $39.58 / $70.52	Professional	26	$23.52	$39.58	$70.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.09 / $95.83 / $214.67	Professional	TC	$61.09	$95.83	$214.67