Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $45.71 / $109.65	Facility	26	$22.91	$45.71	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $251.19	Professional		$70.79	$91.20	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $64.57 / $162.18	Professional	TC	$47.86	$64.57	$162.18
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $177.83 / $177.83	Facility	26	$66.07	$177.83	$177.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $676.08	Professional		$74.13	$123.03	$676.08
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $95.50 / $512.86	Professional	TC	$52.48	$95.50	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $281.84	Professional		$75.86	$134.90	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $100.00 / $204.17	Professional	TC	$53.70	$100.00	$204.17
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $93.33 / $194.98	Professional		$37.15	$93.33	$194.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $245.47	Professional		$70.79	$123.03	$245.47
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $177.83	Professional	TC	$69.18	$107.15	$177.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $177.83 / $177.83	Facility	26	$66.07	$177.83	$177.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $676.08	Professional		$74.13	$123.03	$676.08
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $95.50 / $512.86	Professional	TC	$52.48	$95.50	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $251.19	Professional		$89.13	$128.82	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $93.33 / $169.82	Professional	TC	$58.88	$93.33	$169.82