Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.77 / $13.77 / $51.89	Facility	26	$13.77	$13.77	$51.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $108.55 / $273.29	Professional		$55.54	$108.55	$273.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $18.88 / $96.71	Professional	26	$13.77	$18.88	$96.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.78 / $87.32 / $148.97	Professional	TC	$41.78	$87.32	$148.97
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $41.16 / $43.23 / $87.12	Facility	26	$41.16	$43.23	$87.12
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $154.38 / $664.33	Professional		$90.13	$154.38	$664.33
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.09 / $27.62 / $113.72	Professional	26	$16.09	$27.62	$113.72
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $75.48 / $136.54 / $550.61	Professional	TC	$75.48	$136.54	$550.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $183.59 / $385.83	Professional		$136.47	$183.59	$385.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $34.11 / $45.34	Professional	26	$25.98	$34.11	$45.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $133.19 / $133.19 / $163.18	Professional	TC	$133.19	$133.19	$163.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $173.65 / $332.77	Professional		$90.95	$173.65	$332.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.39 / $32.82 / $52.88	Professional	26	$18.39	$32.82	$52.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.55 / $147.75 / $279.89	Professional	TC	$72.55	$147.75	$279.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $116.88 / $194.09	Professional		$22.95	$116.88	$194.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $240.05 / $311.69	Professional		$119.19	$240.05	$311.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.12 / $44.55 / $57.85	Professional	26	$22.12	$44.55	$57.85
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $195.52 / $253.87	Professional	TC	$97.08	$195.52	$253.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $35.11 / $57.00	Professional		$27.77	$35.11	$57.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $42.12 / $87.12 / $87.12	Facility	26	$42.12	$87.12	$87.12
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $146.69 / $664.33	Professional		$94.51	$146.69	$664.33
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $18.38 / $28.47 / $113.72	Professional	26	$18.38	$28.47	$113.72
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $76.52 / $136.54 / $550.61	Professional	TC	$76.52	$136.54	$550.61
United Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $125.59 / $235.78	Professional		$90.35	$125.59	$235.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.16 / $24.56 / $43.45	Professional	26	$16.16	$24.56	$43.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $76.16 / $112.34 / $215.03	Professional	TC	$76.16	$112.34	$215.03