Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $77.95 / $117.56	Professional		$64.92	$77.95	$117.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.57 / $17.30 / $22.65	Professional	26	$14.57	$17.30	$22.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.35 / $60.17 / $98.02	Professional	TC	$50.35	$60.17	$98.02
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $163.22 / $751.09	Professional		$73.52	$163.22	$751.09
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.20 / $205.00	Professional	26	$17.38	$28.20	$205.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $65.34 / $145.50 / $630.88	Professional	TC	$65.34	$145.50	$630.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $173.76 / $376.90	Professional		$75.18	$173.76	$376.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.87 / $29.15 / $56.19	Professional	26	$19.87	$29.15	$56.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.96 / $139.60 / $324.79	Professional	TC	$56.96	$139.60	$324.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $128.65 / $213.99	Professional		$24.06	$128.65	$213.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.76 / $268.77 / $352.41	Professional		$134.76	$268.77	$352.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.94 / $45.75 / $59.99	Professional	26	$22.94	$45.75	$59.99
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $111.82 / $223.01 / $292.42	Professional	TC	$111.82	$223.01	$292.42
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $161.40 / $751.09	Professional		$73.11	$161.40	$751.09
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $18.84 / $29.24 / $205.00	Professional	26	$18.84	$29.24	$205.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $62.73 / $145.50 / $630.88	Professional	TC	$62.73	$145.50	$630.88
United Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $132.52 / $275.45	Professional		$66.41	$132.52	$275.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $25.07 / $44.35	Professional	26	$18.80	$25.07	$44.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.96 / $115.29 / $229.80	Professional	TC	$52.96	$115.29	$229.80