Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.14 / $9.14 / $33.86	Facility	26	$9.14	$9.14	$33.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $90.89 / $120.97	Professional		$57.32	$90.89	$120.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $11.77 / $17.86	Professional	26	$9.14	$11.77	$17.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $79.11 / $104.31	Professional	TC	$48.18	$79.11	$104.31
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $27.53 / $85.36 / $107.60	Facility	26	$27.53	$85.36	$107.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $176.54 / $902.92	Professional		$113.27	$176.54	$902.92
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $17.29 / $270.04	Professional	26	$10.37	$17.29	$270.04
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $101.29 / $164.07 / $845.22	Professional	TC	$101.29	$164.07	$845.22
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $115.72 / $222.27 / $435.80	Professional	TC	$115.72	$222.27	$435.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $193.03 / $363.72	Professional		$122.06	$193.03	$363.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $17.60 / $35.65	Professional	26	$11.74	$17.60	$35.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.47 / $172.88 / $326.91	Professional	TC	$109.47	$172.88	$326.91
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $122.66 / $201.89	Professional		$15.04	$122.66	$201.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $242.57 / $321.33	Professional		$122.88	$242.57	$321.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.34 / $28.60 / $37.50	Professional	26	$14.34	$28.60	$37.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $108.54 / $216.47 / $283.83	Professional	TC	$108.54	$216.47	$283.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $85.36 / $107.60 / $107.60	Facility	26	$85.36	$107.60	$107.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $185.82 / $902.92	Professional		$119.09	$185.82	$902.92
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $17.68 / $270.04	Professional	26	$11.70	$17.68	$270.04
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $106.73 / $167.03 / $845.22	Professional	TC	$106.73	$167.03	$845.22
United Facility/Professional Professional Modifier Low / Median / High Price $116.21 / $162.62 / $309.29	Professional		$116.21	$162.62	$309.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $16.32 / $36.39	Professional	26	$11.70	$16.32	$36.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.58 / $147.94 / $283.95	Professional	TC	$103.58	$147.94	$283.95