Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $32.36 / $128.82	Facility	26	$18.20	$32.36	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $75.86 / $223.87	Professional		$30.90	$75.86	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $52.48 / $138.04	Professional	26	$19.50	$52.48	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $72.44 / $263.03	Professional	50	$69.18	$72.44	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $30.20 / $112.20	Professional	TC	$8.91	$30.20	$112.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $81.28 / $162.18	Facility	26	$36.31	$81.28	$162.18
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $72.44 / $363.08	Professional		$31.62	$72.44	$363.08
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $34.67 / $194.98	Professional	26	$19.95	$34.67	$194.98
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $39.81 / $213.80	Professional	TC	$8.91	$39.81	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $186.21	Professional		$81.28	$114.82	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $61.66 / $85.11	Professional	26	$37.15	$61.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $72.44 / $154.88	Professional		$35.48	$72.44	$154.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $38.90 / $72.44	Professional	26	$22.39	$38.90	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $31.62 / $91.20	Professional	TC	$12.88	$31.62	$91.20
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $112.20	Professional		$34.67	$58.88	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $77.62 / $162.18	Professional		$38.90	$77.62	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $131.83	Professional	26	$19.50	$32.36	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $39.81 / $125.89	Professional	TC	$11.22	$39.81	$125.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $112.20	Professional		$45.71	$58.88	$112.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $81.28 / $162.18	Facility	26	$36.31	$81.28	$162.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $72.44 / $363.08	Professional		$31.62	$72.44	$363.08
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $34.67 / $194.98	Professional	26	$19.95	$34.67	$194.98
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $38.90 / $213.80	Professional	TC	$8.91	$38.90	$213.80
Tufts Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $56.23 / $123.03	Professional		$25.12	$56.23	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $74.13 / $177.83	Professional		$31.62	$74.13	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $33.88 / $87.10	Professional	26	$19.50	$33.88	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $39.81 / $89.13	Professional	TC	$11.48	$39.81	$89.13