Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.96 / $20.97 / $76.40	Facility	26	$20.96	$20.97	$76.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $100.09 / $343.70	Professional		$75.90	$100.09	$343.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.97 / $27.54 / $71.69	Professional	26	$20.97	$27.54	$71.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.93 / $73.50 / $195.49	Professional	TC	$54.93	$73.50	$195.49
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $61.02 / $64.14 / $126.11	Facility	26	$61.02	$64.14	$126.11
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $161.58 / $692.04	Professional		$90.35	$161.58	$692.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.63 / $37.46 / $165.29	Professional	26	$23.63	$37.46	$165.29
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $65.65 / $125.23 / $526.74	Professional	TC	$65.65	$125.23	$526.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $225.98 / $257.74	Professional		$120.14	$225.98	$257.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $49.07 / $65.20	Professional	26	$34.96	$49.07	$65.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.52 / $96.63 / $108.46	Professional	TC	$71.52	$96.63	$108.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.39 / $169.23 / $344.71	Professional		$111.39	$169.23	$344.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $41.99 / $76.95	Professional	26	$27.21	$41.99	$76.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.73 / $131.44 / $267.75	Professional	TC	$79.73	$131.44	$267.75
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $119.84 / $200.14	Professional		$33.01	$119.84	$200.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $256.64 / $334.10	Professional		$131.07	$256.64	$334.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $61.76 / $82.48	Professional	26	$31.54	$61.76	$82.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $99.53 / $196.47 / $260.27	Professional	TC	$99.53	$196.47	$260.27
Health New England Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $81.27 / $246.55	Professional		$46.89	$81.27	$246.55
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $61.02 / $126.11 / $126.11	Facility	26	$61.02	$126.11	$126.11
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $161.58 / $692.04	Professional		$90.79	$161.58	$692.04
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $24.70 / $36.60 / $165.29	Professional	26	$24.70	$36.60	$165.29
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $65.65 / $125.23 / $526.74	Professional	TC	$65.65	$125.23	$526.74
United Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $139.02 / $278.29	Professional		$86.11	$139.02	$278.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.47 / $35.25 / $77.28	Professional	26	$24.47	$35.25	$77.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.65 / $114.80 / $215.86	Professional	TC	$65.65	$114.80	$215.86