Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $40.74 / $144.54	Facility	26	$28.84	$40.74	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $173.78 / $467.74	Professional		$74.13	$173.78	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $77.62 / $177.83	Professional	26	$33.11	$77.62	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $60.26 / $165.96	Professional	TC	$38.90	$60.26	$165.96
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $89.13 / $234.42	Facility	26	$40.74	$89.13	$234.42
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $575.44	Professional		$74.13	$120.23	$575.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $269.15	Professional	26	$30.90	$51.29	$269.15
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $72.44 / $354.81	Professional	TC	$44.67	$72.44	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $245.47	Professional		$107.15	$177.83	$245.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $70.79 / $95.50	Professional	26	$41.69	$70.79	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $251.19	Professional		$77.62	$128.82	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $53.70 / $107.15	Professional	26	$31.62	$53.70	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $77.62 / $144.54	Professional	TC	$43.65	$77.62	$144.54
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $173.78	Professional		$47.86	$85.11	$173.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $251.19	Professional		$102.33	$162.18	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $60.26 / $97.72	Professional	26	$38.02	$60.26	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $89.13 / $141.25	Professional	TC	$52.48	$89.13	$141.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $295.12	Professional		$63.10	$128.82	$295.12
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $89.13 / $234.42	Facility	26	$40.74	$89.13	$234.42
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $575.44	Professional		$72.44	$120.23	$575.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $50.12 / $269.15	Professional	26	$30.90	$50.12	$269.15
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $70.79 / $354.81	Professional	TC	$44.67	$70.79	$354.81
Tufts Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $72.44 / $125.89	Professional		$36.31	$72.44	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $245.47	Professional		$87.10	$120.23	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $51.29 / $102.33	Professional	26	$34.67	$51.29	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $70.79 / $141.25	Professional	TC	$48.98	$70.79	$141.25