Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $26.30 / $102.33	Facility	26	$19.95	$26.30	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $478.63	Professional		$77.62	$131.83	$478.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $39.81 / $107.15	Professional	26	$21.88	$39.81	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $85.11 / $269.15	Professional	TC	$54.95	$85.11	$269.15
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $64.57 / $165.96	Facility	26	$28.84	$64.57	$165.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $691.83	Professional		$85.11	$138.04	$691.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $165.96	Professional	26	$22.39	$33.88	$165.96
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $112.20 / $524.81	Professional	TC	$64.57	$112.20	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $316.23	Professional		$138.04	$208.93	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $50.12 / $67.61	Professional	26	$29.51	$50.12	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $309.03	Professional		$87.10	$151.36	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $38.02 / $74.13	Professional	26	$22.91	$38.02	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $114.82 / $239.88	Professional	TC	$66.07	$114.82	$239.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $123.03 / $213.80	Professional		$34.67	$123.03	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $288.40	Professional		$109.65	$190.55	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $44.67 / $69.18	Professional	26	$26.30	$44.67	$69.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $138.04 / $218.78	Professional	TC	$83.18	$138.04	$218.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $173.78	Professional		$37.15	$52.48	$173.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $64.57 / $165.96	Facility	26	$28.84	$64.57	$165.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $691.83	Professional		$85.11	$138.04	$691.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.88 / $165.96	Professional	26	$22.39	$33.88	$165.96
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $112.20 / $524.81	Professional	TC	$64.57	$112.20	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $295.12	Professional		$91.20	$147.91	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $36.31 / $72.44	Professional	26	$24.55	$36.31	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $114.82 / $223.87	Professional	TC	$64.57	$114.82	$223.87