Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.18 / $27.06 / $79.20	Facility	26	$21.18	$27.06	$79.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $111.86 / $348.88	Professional		$44.63	$111.86	$348.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.18 / $29.52 / $83.90	Professional	26	$21.18	$29.52	$83.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $70.90 / $93.00	Professional	TC	$23.44	$70.90	$93.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.22 / $67.45 / $134.57	Facility	26	$64.22	$67.45	$134.57
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $106.17 / $562.97	Professional		$60.86	$106.17	$562.97
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.16 / $43.47 / $186.58	Professional	26	$25.16	$43.47	$186.58
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.93 / $71.41 / $399.92	Professional	TC	$31.93	$71.41	$399.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.29 / $51.35 / $69.56	Professional	26	$37.29	$51.35	$69.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.72 / $69.56 / $147.13	Professional	TC	$37.72	$69.56	$147.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $112.56 / $196.49	Professional		$62.10	$112.56	$196.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.44 / $43.48 / $80.95	Professional	26	$27.44	$43.48	$80.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.88 / $66.18 / $120.02	Professional	TC	$34.88	$66.18	$120.02
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $54.07 / $111.33	Professional		$33.97	$54.07	$111.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $145.97 / $198.15	Professional		$74.55	$145.97	$198.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.59 / $66.59 / $87.84	Professional	26	$33.59	$66.59	$87.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.96 / $80.20 / $106.43	Professional	TC	$40.96	$80.20	$106.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $53.09 / $130.11	Professional		$42.44	$53.09	$130.11
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $64.91 / $134.57 / $134.57	Facility	26	$64.91	$134.57	$134.57
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $109.67 / $562.97	Professional		$65.37	$109.67	$562.97
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $26.52 / $43.00 / $186.58	Professional	26	$26.52	$43.00	$186.58
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $33.35 / $71.59 / $399.92	Professional	TC	$33.35	$71.59	$399.92
Tufts Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $101.90 / $122.73	Professional		$50.30	$101.90	$122.73
United Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $88.62 / $181.68	Professional		$62.02	$88.62	$181.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.63 / $38.22 / $69.08	Professional	26	$25.63	$38.22	$69.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.14 / $53.71 / $123.77	Professional	TC	$33.14	$53.71	$123.77