Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.57 / $17.57 / $67.55	Facility	26	$17.57	$17.57	$67.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $117.50 / $159.49	Professional		$84.68	$117.50	$159.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.09 / $93.21 / $132.38	Professional	TC	$67.09	$93.21	$132.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.46 / $56.16 / $113.57	Facility	26	$53.46	$56.16	$113.57
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $195.85 / $923.37	Professional		$112.43	$195.85	$923.37
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $95.48 / $187.51 / $778.42	Professional	TC	$95.48	$187.51	$778.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $220.15 / $463.17	Professional		$114.01	$220.15	$463.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.85 / $185.88 / $393.71	Professional	TC	$92.85	$185.88	$393.71
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $163.03 / $273.19	Professional		$29.65	$163.03	$273.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $343.99 / $453.99	Professional		$170.80	$343.99	$453.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $142.54 / $287.08 / $372.76	Professional	TC	$142.54	$287.08	$372.76
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $54.81 / $113.57 / $113.57	Facility	26	$54.81	$113.57	$113.57
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $198.14 / $923.37	Professional		$120.52	$198.14	$923.37
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $99.17 / $188.37 / $778.42	Professional	TC	$99.17	$188.37	$778.42
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $170.80 / $332.82	Professional		$112.20	$170.80	$332.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $98.32 / $150.57 / $284.10	Professional	TC	$98.32	$150.57	$284.10