Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.51 / $87.85	Facility	26	$23.51	$23.51	$87.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $77.64 / $156.79	Professional		$63.54	$77.64	$156.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.51 / $29.53 / $69.59	Professional	26	$23.51	$29.53	$69.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.13 / $33.52 / $46.90	Professional	52	$30.13	$33.52	$46.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.90 / $48.98 / $73.88	Professional	TC	$34.90	$48.98	$73.88
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $69.53 / $74.64 / $151.72	Facility	26	$69.53	$74.64	$151.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $108.56 / $497.00	Professional		$61.39	$108.56	$497.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $46.13 / $320.31	Professional	26	$26.36	$46.13	$320.31
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $64.01 / $320.31	Professional	TC	$36.09	$64.01	$320.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $44.49 / $51.27 / $82.61	Professional	TC	$44.49	$51.27	$82.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $121.33 / $213.21	Professional		$71.89	$121.33	$213.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.24 / $48.26 / $89.60	Professional	26	$30.24	$48.26	$89.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.82 / $76.37 / $129.85	Professional	TC	$45.82	$76.37	$129.85
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $61.73 / $119.07	Professional		$38.35	$61.73	$119.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $158.10 / $218.52	Professional		$79.51	$158.10	$218.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $72.17 / $96.39	Professional	26	$36.86	$72.17	$96.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.69 / $92.56 / $122.10	Professional	TC	$46.69	$92.56	$122.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $93.85 / $221.57	Professional		$90.59	$93.85	$221.57
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $69.53 / $151.72 / $151.72	Facility	26	$69.53	$151.72	$151.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $107.35 / $497.00	Professional		$69.20	$107.35	$497.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $26.78 / $44.87 / $320.31	Professional	26	$26.78	$44.87	$320.31
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $37.22 / $61.66 / $320.31	Professional	TC	$37.22	$61.66	$320.31
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $93.25 / $193.86	Professional		$67.84	$93.25	$193.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.36 / $41.78 / $92.16	Professional	26	$26.36	$41.78	$92.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.22 / $51.47 / $92.56	Professional	TC	$37.22	$51.47	$92.56