Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.17 / $29.17 / $110.08	Facility	26	$29.17	$29.17	$110.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $92.40 / $420.00	Professional		$48.82	$92.40	$420.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $40.04 / $133.96	Professional	26	$32.29	$40.04	$133.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $49.65 / $81.47	Professional	TC	$19.66	$49.65	$81.47
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $88.03 / $92.47 / $183.92	Facility	26	$88.03	$92.47	$183.92
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $167.43 / $1,002.61	Professional		$71.73	$167.43	$1,002.61
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $37.08 / $56.07 / $238.39	Professional	26	$37.08	$56.07	$238.39
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.58 / $89.54 / $780.59	Professional	TC	$33.58	$89.54	$780.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $35.77 / $54.68	Professional		$21.40	$35.77	$54.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.47 / $71.54 / $93.10	Professional	26	$54.47	$71.54	$93.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $161.09 / $251.21	Professional		$81.44	$161.09	$251.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.84 / $64.13 / $111.08	Professional	26	$39.84	$64.13	$111.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.83 / $82.14 / $138.02	Professional	TC	$41.83	$82.14	$138.02
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $72.69 / $144.91	Professional		$47.21	$72.69	$144.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $184.92 / $254.92	Professional		$97.48	$184.92	$254.92
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.88 / $91.50 / $119.98	Professional	26	$45.88	$91.50	$119.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.61 / $103.94 / $134.97	Professional	TC	$51.61	$103.94	$134.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $85.07 / $300.05	Professional		$54.54	$85.07	$300.05
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $88.63 / $183.92 / $183.92	Facility	26	$88.63	$183.92	$183.92
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $175.20 / $1,002.61	Professional		$80.50	$175.20	$1,002.61
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $37.96 / $60.29 / $238.39	Professional	26	$37.96	$60.29	$238.39
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $35.72 / $96.82 / $780.59	Professional	TC	$35.72	$96.82	$780.59
Tufts Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $94.25 / $134.00	Professional		$77.23	$94.25	$134.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $147.37 / $251.18	Professional		$73.26	$147.37	$251.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $48.94 / $93.42	Professional	26	$37.65	$48.94	$93.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.54 / $58.09 / $165.46	Professional	TC	$33.54	$58.09	$165.46