Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $36.31 / $107.15	Facility	26	$19.95	$36.31	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $426.58	Professional		$52.48	$117.49	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $46.77 / $114.82	Professional	26	$23.44	$46.77	$114.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $95.50 / $426.58	Professional	52	$57.54	$95.50	$426.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $54.95 / $173.78	Professional	TC	$25.70	$54.95	$173.78
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $173.78 / $173.78	Facility	26	$64.57	$173.78	$173.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $457.09	Professional		$58.88	$97.72	$457.09
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.02 / $263.03	Professional	26	$22.91	$38.02	$263.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $66.07 / $407.38	Professional	TC	$34.67	$66.07	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $169.82	Professional		$70.79	$123.03	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $50.12 / $70.79	Professional	26	$30.90	$50.12	$70.79
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $15.49 / $35.48 / $81.28	Professional	52	$15.49	$35.48	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $186.21	Professional		$52.48	$107.15	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.90 / $74.13	Professional	26	$23.44	$38.90	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $69.18 / $128.82	Professional	TC	$38.02	$69.18	$128.82
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $60.26 / $131.83	Professional		$34.67	$60.26	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $177.83	Professional		$63.10	$109.65	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $72.44	Professional	26	$28.18	$44.67	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $60.26 / $93.33	Professional	TC	$35.48	$60.26	$93.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $223.87	Professional		$25.12	$45.71	$223.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $173.78 / $173.78	Facility	26	$64.57	$173.78	$173.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $457.09	Professional		$58.88	$97.72	$457.09
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $37.15 / $263.03	Professional	26	$22.91	$37.15	$263.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $66.07 / $407.38	Professional	TC	$34.67	$66.07	$407.38
Tufts Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $181.97	Professional		$69.18	$102.33	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $38.02 / $75.86	Professional	26	$24.55	$38.02	$75.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $66.07 / $104.71	Professional	TC	$41.69	$66.07	$104.71