Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.71 / $29.10 / $62.73	Facility	26	$16.71	$29.10	$62.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $66.22 / $77.64	Professional		$49.81	$66.22	$77.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $21.46 / $28.32	Professional	26	$16.71	$21.46	$28.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.34 / $44.76 / $54.60	Professional	TC	$33.34	$44.76	$54.60
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $48.76 / $51.22 / $101.94	Facility	26	$48.76	$51.22	$101.94
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $95.73 / $420.07	Professional		$62.20	$95.73	$420.07
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.95 / $30.65 / $132.09	Professional	26	$18.95	$30.65	$132.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $41.44 / $70.34 / $288.04	Professional	TC	$41.44	$70.34	$288.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.70 / $38.99 / $52.65	Professional	26	$23.70	$38.99	$52.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $120.01 / $207.92	Professional		$66.08	$120.01	$207.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.75 / $35.52 / $63.14	Professional	26	$21.75	$35.52	$63.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.21 / $79.81 / $146.40	Professional	TC	$45.21	$79.81	$146.40
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $67.33 / $122.80	Professional		$26.62	$67.33	$122.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $161.68 / $212.88	Professional		$80.28	$161.68	$212.88
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.40 / $50.35 / $66.42	Professional	26	$25.40	$50.35	$66.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $54.89 / $109.47 / $143.54	Professional	TC	$54.89	$109.47	$143.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $49.19 / $101.94 / $101.94	Facility	26	$49.19	$101.94	$101.94
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $96.36 / $420.07	Professional		$63.51	$96.36	$420.07
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $33.10 / $132.09	Professional	26	$21.82	$33.10	$132.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $41.50 / $72.51 / $288.04	Professional	TC	$41.50	$72.51	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $93.88 / $209.94	Professional		$63.51	$93.88	$209.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $28.70 / $50.68	Professional	26	$19.22	$28.70	$50.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.44 / $59.22 / $106.58	Professional	TC	$41.44	$59.22	$106.58