Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $112.20	Facility	26	$21.88	$21.88	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $331.13	Professional		$87.10	$128.82	$331.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $37.15 / $87.10	Professional	26	$22.91	$37.15	$87.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $81.28 / $223.87	Professional	TC	$61.66	$81.28	$223.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $70.79 / $181.97	Facility	26	$31.62	$70.79	$181.97
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $676.08	Professional		$89.13	$141.25	$676.08
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $37.15 / $181.97	Professional	26	$23.99	$37.15	$181.97
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $107.15 / $489.78	Professional	TC	$64.57	$107.15	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $295.12	Professional		$131.83	$213.80	$295.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $54.95 / $74.13	Professional	26	$32.36	$54.95	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $302.00	Professional		$89.13	$154.88	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $41.69 / $81.28	Professional	26	$24.55	$41.69	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.10 / $114.82 / $218.78	Professional	TC	$63.10	$114.82	$218.78
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $125.89 / $229.09	Professional		$38.90	$125.89	$229.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $309.03	Professional		$114.82	$199.53	$309.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $51.29 / $77.62	Professional	26	$29.51	$51.29	$77.62
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $144.54 / $223.87	Professional	TC	$87.10	$144.54	$223.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $72.44	Professional		$39.81	$46.77	$72.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $70.79 / $181.97	Facility	26	$31.62	$70.79	$181.97
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $676.08	Professional		$89.13	$141.25	$676.08
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $36.31 / $181.97	Professional	26	$23.99	$36.31	$181.97
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $104.71 / $489.78	Professional	TC	$64.57	$104.71	$489.78
Tufts Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $93.33	Professional		$40.74	$46.77	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $309.03	Professional		$102.33	$151.36	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.90 / $79.43	Professional	26	$26.92	$38.90	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $112.20 / $229.09	Professional	TC	$74.13	$112.20	$229.09