Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $95.50 / $245.47	Facility	26	$44.67	$95.50	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $1,412.54	Professional		$169.82	$275.42	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $63.10 / $223.87	Professional	26	$47.86	$63.10	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $194.98 / $1,047.13	Professional	TC	$120.23	$194.98	$1,047.13
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $151.36 / $562.34	Facility	26	$67.61	$151.36	$562.34
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $3,388.44	Professional		$186.21	$338.84	$3,388.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $75.86 / $436.52	Professional	26	$45.71	$75.86	$436.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $245.47 / $3,090.30	Professional	TC	$138.04	$245.47	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $870.96	Professional		$302.00	$489.78	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $181.97	Professional	26	$72.44	$114.82	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $346.74 / $575.44	Professional	TC	$218.78	$346.74	$575.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $257.04 / $436.52	Professional		$83.18	$257.04	$436.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $602.56	Professional		$229.09	$323.59	$602.56
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $158.49	Professional	26	$61.66	$83.18	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $239.88 / $446.68	Professional	TC	$165.96	$239.88	$446.68
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $151.36 / $562.34	Facility	26	$67.61	$151.36	$562.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $3,388.44	Professional		$186.21	$363.08	$3,388.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $75.86 / $436.52	Professional	26	$45.71	$75.86	$436.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $245.47 / $3,090.30	Professional	TC	$138.04	$245.47	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $794.33	Professional		$257.04	$489.78	$794.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $85.11 / $190.55	Professional	26	$54.95	$85.11	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $363.08 / $660.69	Professional	TC	$186.21	$363.08	$660.69