Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.51 / $23.52 / $89.40	Facility	26	$23.51	$23.52	$89.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $75.56 / $831.18	Professional		$48.71	$75.56	$831.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $221.76 / $776.16	Professional	26	$27.07	$221.76	$776.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $39.58 / $75.08	Professional	TC	$25.19	$39.58	$75.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $36.40 / $77.43 / $170.00	Facility	26	$36.40	$77.43	$170.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $101.91 / $468.11	Professional		$53.55	$101.91	$468.11
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.23 / $43.74 / $378.10	Professional	26	$28.23	$43.74	$378.10
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $30.42 / $59.98 / $378.10	Professional	TC	$30.42	$59.98	$378.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $137.74 / $182.05	Professional		$104.40	$137.74	$182.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.41 / $65.67 / $85.11	Professional	26	$52.41	$65.67	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $134.53 / $219.26	Professional		$79.19	$134.53	$219.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.78 / $62.10 / $103.88	Professional	26	$36.78	$62.10	$103.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.17 / $74.05 / $115.38	Professional	TC	$42.17	$74.05	$115.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $59.46 / $108.96	Professional		$40.47	$59.46	$108.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $155.13 / $248.32	Professional		$82.74	$155.13	$248.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $76.03 / $103.40	Professional	26	$40.54	$76.03	$103.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $42.19 / $79.11 / $107.54	Professional	TC	$42.19	$79.11	$107.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $201.25 / $1,006.26	Professional		$94.48	$201.25	$1,006.26
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $76.59 / $170.00 / $170.00	Facility	26	$76.59	$170.00	$170.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $111.98 / $468.11	Professional		$74.64	$111.98	$468.11
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $31.34 / $48.79 / $378.10	Professional	26	$31.34	$48.79	$378.10
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $40.22 / $66.01 / $378.10	Professional	TC	$40.22	$66.01	$378.10
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $102.40 / $180.97	Professional		$72.56	$102.40	$180.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.34 / $43.74 / $87.71	Professional	26	$31.34	$43.74	$87.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.17 / $59.98 / $119.35	Professional	TC	$37.17	$59.98	$119.35