Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.75 / $25.75 / $95.65	Facility	26	$25.75	$25.75	$95.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $131.77 / $302.47	Professional		$109.45	$131.77	$302.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.27 / $44.10 / $125.96	Professional	26	$26.27	$44.10	$125.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.54 / $95.56 / $193.09	Professional	TC	$79.54	$95.56	$193.09
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $114.93 / $120.73 / $238.64	Facility	26	$114.93	$120.73	$238.64
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $222.57 / $1,019.78	Professional		$122.35	$222.57	$1,019.78
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.44 / $72.17 / $310.80	Professional	26	$36.44	$72.17	$310.80
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $86.15 / $172.31 / $708.98	Professional	TC	$86.15	$172.31	$708.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $91.18 / $123.14	Professional	26	$55.43	$91.18	$123.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $255.49 / $503.58	Professional		$121.81	$255.49	$503.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $67.16 / $128.96	Professional	26	$39.32	$67.16	$128.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $88.93 / $206.10 / $360.42	Professional	TC	$88.93	$206.10	$360.42
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $154.40 / $278.93	Professional		$62.32	$154.40	$278.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $185.14 / $367.02 / $484.16	Professional		$185.14	$367.02	$484.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $59.39 / $118.45 / $155.31	Professional	26	$59.39	$118.45	$155.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $125.75 / $250.80 / $328.85	Professional	TC	$125.75	$250.80	$328.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $82.37 / $389.30	Professional		$67.12	$82.37	$389.30
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $115.49 / $238.64 / $238.64	Facility	26	$115.49	$238.64	$238.64
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $225.50 / $1,019.78	Professional		$123.62	$225.50	$1,019.78
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $37.53 / $72.81 / $310.80	Professional	26	$37.53	$72.81	$310.80
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $98.40 / $176.07 / $708.98	Professional	TC	$98.40	$176.07	$708.98
United Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $185.14 / $505.53	Professional		$105.65	$185.14	$505.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.32 / $61.95 / $119.05	Professional	26	$33.32	$61.95	$119.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $94.49 / $147.94 / $261.75	Professional	TC	$94.49	$147.94	$261.75