Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $24.55 / $95.50	Facility	26	$18.20	$24.55	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $275.42	Professional		$39.81	$93.33	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $52.48 / $131.83	Professional	26	$20.89	$52.48	$131.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $24.55 / $87.10	Professional	TC	$16.98	$24.55	$87.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $57.54 / $151.36	Facility	26	$26.30	$57.54	$151.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $501.19	Professional		$38.90	$75.86	$501.19
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $32.36 / $151.36	Professional	26	$19.95	$32.36	$151.36
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $35.48 / $380.19	Professional	TC	$19.95	$35.48	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $125.89	Professional		$54.95	$91.20	$125.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $45.71 / $61.66	Professional	26	$26.92	$45.71	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $141.25	Professional		$41.69	$77.62	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $34.67 / $69.18	Professional	26	$20.42	$34.67	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $37.15 / $74.13	Professional	TC	$18.62	$37.15	$74.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $89.13	Professional		$26.92	$44.67	$89.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $83.18 / $138.04	Professional		$31.62	$83.18	$138.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $40.74 / $66.07	Professional	26	$24.55	$40.74	$66.07
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $39.81 / $60.26	Professional	TC	$25.70	$39.81	$60.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $194.98	Professional		$40.74	$48.98	$194.98
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $57.54 / $151.36	Facility	26	$26.30	$57.54	$151.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $501.19	Professional		$38.90	$74.13	$501.19
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $32.36 / $151.36	Professional	26	$19.95	$32.36	$151.36
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $35.48 / $380.19	Professional	TC	$19.95	$35.48	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $77.62 / $138.04	Professional		$46.77	$77.62	$138.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $33.11 / $67.61	Professional	26	$22.39	$33.11	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $67.61	Professional	TC	$21.88	$35.48	$67.61