Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $47.86 / $128.82	Facility	26	$25.12	$47.86	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $575.44	Professional		$93.33	$190.55	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $53.70 / $144.54	Professional	26	$27.54	$53.70	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $389.05	Professional	TC	$61.66	$95.50	$389.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $208.93 / $208.93	Facility	26	$77.62	$208.93	$208.93
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $691.83	Professional		$87.10	$144.54	$691.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $45.71 / $257.04	Professional	26	$27.54	$45.71	$257.04
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $107.15 / $478.63	Professional	TC	$61.66	$107.15	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $309.03	Professional		$134.90	$229.09	$309.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $63.10 / $85.11	Professional	26	$37.15	$63.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $316.23	Professional		$91.20	$162.18	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $47.86 / $91.20	Professional	26	$29.51	$47.86	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $114.82 / $223.87	Professional	TC	$66.07	$114.82	$223.87
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $112.20 / $218.78	Professional		$42.66	$112.20	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $288.40	Professional		$109.65	$186.21	$288.40
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $53.70 / $87.10	Professional	26	$33.11	$53.70	$87.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $128.82 / $199.53	Professional	TC	$75.86	$128.82	$199.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $102.33 / $288.40	Professional		$45.71	$102.33	$288.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $208.93 / $208.93	Facility	26	$77.62	$208.93	$208.93
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $691.83	Professional		$87.10	$144.54	$691.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $43.65 / $257.04	Professional	26	$27.54	$43.65	$257.04
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $104.71 / $478.63	Professional	TC	$61.66	$104.71	$478.63
Tufts Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $213.80	Professional		$50.12	$109.65	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $295.12	Professional		$95.50	$144.54	$295.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $45.71 / $91.20	Professional	26	$30.90	$45.71	$91.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $107.15 / $204.17	Professional	TC	$63.10	$107.15	$204.17