Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	26	$281.84	$281.84	$281.84
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	TC	$794.33	$794.33	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $91.20	Professional		$63.10	$79.43	$91.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	26	$281.84	$281.84	$281.84
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	TC	$794.33	$794.33	$794.33
Tufts Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $234.42	Professional		$120.23	$173.78	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $323.59	Professional		$131.83	$177.83	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $54.95 / $123.03	Professional	26	$35.48	$54.95	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $120.23 / $229.09	Professional	TC	$83.18	$120.23	$229.09