Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.11 / $28.11 / $104.37	Facility	26	$28.11	$28.11	$104.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.57 / $153.15 / $262.38	Professional		$123.57	$153.15	$262.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.11 / $36.63 / $108.97	Professional	26	$28.11	$36.63	$108.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $117.24 / $207.79	Professional	TC	$97.08	$117.24	$207.79
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $84.02 / $88.26 / $175.47	Facility	26	$84.02	$88.26	$175.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $228.30 / $968.58	Professional		$127.69	$228.30	$968.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.36 / $53.07 / $227.63	Professional	26	$31.36	$53.07	$227.63
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $96.14 / $185.80 / $740.95	Professional	TC	$96.14	$185.80	$740.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.73 / $67.17 / $90.70	Professional	26	$45.73	$67.17	$90.70
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.91 / $149.91 / $193.53	Professional	TC	$149.91	$149.91	$193.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.62 / $246.88 / $482.63	Professional		$135.62	$246.88	$482.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.77 / $56.37 / $105.99	Professional	26	$35.77	$56.37	$105.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $99.85 / $189.60 / $376.64	Professional	TC	$99.85	$189.60	$376.64
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $163.15 / $277.04	Professional		$45.89	$163.15	$277.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $179.40 / $337.88 / $455.32	Professional		$179.40	$337.88	$455.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.83 / $86.52 / $114.62	Professional	26	$43.83	$86.52	$114.62
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $135.58 / $265.47 / $354.56	Professional	TC	$135.58	$265.47	$354.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $103.18 / $112.24	Professional		$56.30	$103.18	$112.24
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $84.74 / $175.47 / $175.47	Facility	26	$84.74	$175.47	$175.47
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $221.81 / $968.58	Professional		$127.69	$221.81	$968.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $52.87 / $227.63	Professional	26	$32.36	$52.87	$227.63
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $100.72 / $179.14 / $740.95	Professional	TC	$100.72	$179.14	$740.95
United Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $197.34 / $446.81	Professional		$123.55	$197.34	$446.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $49.23 / $97.70	Professional	26	$31.14	$49.23	$97.70
United Facility/Professional Professional Modifier TC Low / Median / High Price $92.19 / $155.77 / $312.41	Professional	TC	$92.19	$155.77	$312.41