Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.99 / $22.99 / $28.07	Facility	26	$22.99	$22.99	$28.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $118.42 / $292.50	Professional		$88.10	$118.42	$292.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.99 / $29.66 / $76.97	Professional	26	$22.99	$29.66	$76.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.11 / $78.81 / $145.38	Professional	TC	$65.11	$78.81	$145.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $66.68 / $70.04 / $139.84	Facility	26	$66.68	$70.04	$139.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.05 / $156.38 / $674.54	Professional		$104.05	$156.38	$674.54
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.17 / $40.83 / $180.38	Professional	26	$26.17	$40.83	$180.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $77.72 / $116.36 / $494.15	Professional	TC	$77.72	$116.36	$494.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $124.11 / $239.88	Professional		$21.96	$124.11	$239.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.74 / $54.38 / $72.27	Professional	26	$38.74	$54.38	$72.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $171.75 / $335.32	Professional		$106.51	$171.75	$335.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.17 / $45.81 / $84.12	Professional	26	$29.17	$45.81	$84.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $77.15 / $127.64 / $251.21	Professional	TC	$77.15	$127.64	$251.21
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $114.28 / $198.91	Professional		$36.49	$114.28	$198.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $257.39 / $339.54	Professional		$129.84	$257.39	$339.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.82 / $68.18 / $91.06	Professional	26	$34.82	$68.18	$91.06
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $95.03 / $186.07 / $248.51	Professional	TC	$95.03	$186.07	$248.51
Health New England Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $63.33 / $89.25	Professional		$24.31	$63.33	$89.25
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $67.03 / $139.84 / $139.84	Facility	26	$67.03	$139.84	$139.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $107.65 / $152.56 / $674.54	Professional		$107.65	$152.56	$674.54
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $28.02 / $39.42 / $180.38	Professional	26	$28.02	$39.42	$180.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $80.31 / $113.38 / $494.15	Professional	TC	$80.31	$113.38	$494.15
United Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $146.19 / $262.75	Professional		$105.81	$146.19	$262.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $39.18 / $83.88	Professional	26	$27.93	$39.18	$83.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.39 / $111.33 / $193.72	Professional	TC	$79.39	$111.33	$193.72