Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.98 / $12.98 / $47.86	Facility	26	$12.98	$12.98	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $145.06 / $188.91	Professional		$69.90	$145.06	$188.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.38 / $18.98 / $108.56	Professional	26	$13.38	$18.98	$108.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $46.44 / $94.75 / $174.04	Professional	TC	$46.44	$94.75	$174.04
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $106.70 / $112.08 / $220.50	Facility	26	$106.70	$112.08	$220.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $237.07 / $2,986.89	Professional		$104.79	$237.07	$2,986.89
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.64 / $64.73 / $425.60	Professional	26	$21.64	$64.73	$425.60
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $59.35 / $126.89 / $2,892.33	Professional	TC	$59.35	$126.89	$2,892.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.55 / $86.48 / $114.30	Professional	26	$65.55	$86.48	$114.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $209.58 / $509.19	Professional		$98.52	$209.58	$509.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $54.27 / $126.11	Professional	26	$21.44	$54.27	$126.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.20 / $128.09 / $433.85	Professional	TC	$64.20	$128.09	$433.85
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $82.78 / $174.48	Professional		$55.82	$82.78	$174.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $233.05 / $307.43	Professional		$117.56	$233.05	$307.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $55.71 / $111.11 / $145.69	Professional	26	$55.71	$111.11	$145.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $61.85 / $123.70 / $161.74	Professional	TC	$61.85	$123.70	$161.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $82.00 / $244.00	Professional		$39.00	$82.00	$244.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $108.25 / $220.50 / $220.50	Facility	26	$108.25	$220.50	$220.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $280.64 / $2,986.89	Professional		$115.44	$280.64	$2,986.89
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $65.67 / $425.60	Professional	26	$20.03	$65.67	$425.60
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $62.31 / $156.34 / $2,892.33	Professional	TC	$62.31	$156.34	$2,892.33
United Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $211.38 / $589.29	Professional		$110.20	$211.38	$589.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $59.76 / $109.69	Professional	26	$18.80	$59.76	$109.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.91 / $85.52 / $486.11	Professional	TC	$59.91	$85.52	$486.11