Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.05 / $36.31 / $100.00	Facility	26	$19.05	$36.31	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $446.68	Professional		$91.20	$131.83	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $97.72	Professional	26	$22.91	$39.81	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $97.72 / $239.88	Professional	TC	$67.61	$97.72	$239.88
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $162.18 / $162.18	Facility	26	$58.88	$162.18	$162.18
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $851.14	Professional		$89.13	$158.49	$851.14
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $34.67 / $204.17	Professional	26	$21.88	$34.67	$204.17
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $141.25 / $676.08	Professional	TC	$66.07	$141.25	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.98 / $64.57	Professional	26	$28.84	$48.98	$64.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $208.93 / $724.44	Professional	TC	$162.18	$208.93	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $371.54	Professional		$89.13	$173.78	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.90 / $74.13	Professional	26	$22.91	$38.90	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $144.54 / $302.00	Professional	TC	$61.66	$144.54	$302.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $144.54 / $239.88	Professional		$33.11	$144.54	$239.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $338.84	Professional		$123.03	$190.55	$338.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $67.61	Professional	26	$25.70	$38.90	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $151.36 / $269.15	Professional	TC	$97.72	$151.36	$269.15
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $208.93	Professional		$36.31	$44.67	$208.93
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $162.18 / $162.18	Facility	26	$58.88	$162.18	$162.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $851.14	Professional		$89.13	$158.49	$851.14
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $34.67 / $204.17	Professional	26	$22.39	$34.67	$204.17
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $141.25 / $676.08	Professional	TC	$67.61	$141.25	$676.08
Tufts Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $125.89	Professional		$87.10	$114.82	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $331.13	Professional		$89.13	$158.49	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $34.67 / $67.61	Professional	26	$25.12	$34.67	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $131.83 / $263.03	Professional	TC	$66.07	$131.83	$263.03