Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $58.88 / $141.25	Facility	26	$28.18	$58.88	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $588.84	Professional		$104.71	$165.96	$588.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $141.25	Professional	26	$28.18	$39.81	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $120.23 / $281.84	Professional	TC	$93.33	$120.23	$281.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $89.13 / $229.09	Facility	26	$39.81	$89.13	$229.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $977.24	Professional		$117.49	$199.53	$977.24
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $48.98 / $229.09	Professional	26	$30.20	$48.98	$229.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $158.49 / $741.31	Professional	TC	$91.20	$158.49	$741.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $69.18 / $93.33	Professional	26	$40.74	$69.18	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $436.52	Professional		$128.82	$223.87	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $52.48 / $102.33	Professional	26	$30.90	$52.48	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $169.82 / $338.84	Professional	TC	$95.50	$169.82	$338.84
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $165.96 / $302.00	Professional		$46.77	$165.96	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $407.38	Professional		$147.91	$288.40	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $60.26 / $93.33	Professional	26	$35.48	$60.26	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $190.55 / $295.12	Professional	TC	$112.20	$190.55	$295.12
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $54.95	Professional		$50.12	$52.48	$54.95
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $89.13 / $229.09	Facility	26	$39.81	$89.13	$229.09
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $977.24	Professional		$117.49	$199.53	$977.24
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $48.98 / $229.09	Professional	26	$30.20	$48.98	$229.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $158.49 / $741.31	Professional	TC	$91.20	$158.49	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $398.11	Professional		$123.03	$199.53	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $51.29 / $97.72	Professional	26	$31.62	$51.29	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $158.49 / $302.00	Professional	TC	$91.20	$158.49	$302.00