Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.03 / $36.63 / $45.02	Facility	26	$20.03	$36.63	$45.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $100.97 / $177.01	Professional		$68.50	$100.97	$177.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.03 / $27.03 / $82.51	Professional	26	$20.03	$27.03	$82.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.47 / $70.91 / $137.19	Professional	TC	$48.47	$70.91	$137.19
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $61.65 / $65.00 / $127.92	Facility	26	$61.65	$65.00	$127.92
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $143.59 / $642.13	Professional		$88.70	$143.59	$642.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $22.63 / $38.86 / $167.46	Professional	26	$22.63	$38.86	$167.46
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $64.84 / $109.55 / $474.67	Professional	TC	$64.84	$109.55	$474.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.54 / $48.99 / $66.16	Professional	26	$34.54	$48.99	$66.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.46 / $168.50 / $320.95	Professional		$97.46	$168.50	$320.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.35 / $43.48 / $78.06	Professional	26	$26.35	$43.48	$78.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.11 / $126.51 / $242.93	Professional	TC	$71.11	$126.51	$242.93
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $108.74 / $192.48	Professional		$33.45	$108.74	$192.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $250.27 / $323.35	Professional		$158.13	$250.27	$323.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $31.95 / $63.72 / $83.55	Professional	26	$31.95	$63.72	$83.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $89.70 / $178.90 / $234.57	Professional	TC	$89.70	$178.90	$234.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $156.68 / $211.52	Professional		$36.96	$156.68	$211.52
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $61.65 / $127.92 / $127.92	Facility	26	$61.65	$127.92	$127.92
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $144.78 / $642.13	Professional		$95.79	$144.78	$642.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $26.51 / $41.02 / $167.46	Professional	26	$26.51	$41.02	$167.46
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $68.16 / $118.44 / $474.67	Professional	TC	$68.16	$118.44	$474.67
United Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $134.24 / $330.11	Professional		$93.22	$134.24	$330.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.60 / $36.86 / $79.66	Professional	26	$25.60	$36.86	$79.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.33 / $97.38 / $175.70	Professional	TC	$66.33	$97.38	$175.70