Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.86 / $35.86 / $136.12	Facility	26	$35.86	$35.86	$136.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $107.61 / $392.63	Professional		$70.94	$107.61	$392.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.86 / $46.44 / $136.53	Professional	26	$35.86	$46.44	$136.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.08 / $61.17 / $84.67	Professional	TC	$35.08	$61.17	$84.67
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $55.97 / $118.12 / $262.14	Facility	26	$55.97	$118.12	$262.14
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $206.79 / $1,173.03	Professional		$76.09	$206.79	$1,173.03
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $43.07 / $68.09 / $493.68	Professional	26	$43.07	$68.09	$493.68
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $40.27 / $98.51 / $927.75	Professional	TC	$40.27	$98.51	$927.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.70 / $193.43 / $257.02	Professional		$115.70	$193.43	$257.02
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.48 / $100.22 / $129.88	Professional	26	$74.48	$100.22	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $202.65 / $311.27	Professional		$111.81	$202.65	$311.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.14 / $94.75 / $158.50	Professional	26	$56.14	$94.75	$158.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $55.30 / $99.46 / $175.81	Professional	TC	$55.30	$99.46	$175.81
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $79.97 / $154.19	Professional		$59.07	$79.97	$154.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $219.66 / $380.74	Professional		$117.15	$219.66	$380.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $61.85 / $113.80 / $158.86	Professional	26	$61.85	$113.80	$158.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $55.30 / $102.14 / $140.96	Professional	TC	$55.30	$102.14	$140.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $72.56 / $103.40	Professional		$70.59	$72.56	$103.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $117.07 / $262.14 / $262.14	Facility	26	$117.07	$262.14	$262.14
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $218.63 / $1,173.03	Professional		$109.53	$218.63	$1,173.03
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $47.84 / $74.45 / $493.68	Professional	26	$47.84	$74.45	$493.68
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $52.15 / $109.09 / $927.75	Professional	TC	$52.15	$109.09	$927.75
United Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $210.96 / $310.24	Professional		$103.29	$210.96	$310.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.84 / $65.23 / $133.90	Professional	26	$47.84	$65.23	$133.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.56 / $98.51 / $203.13	Professional	TC	$48.56	$98.51	$203.13