Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.95 / $32.95 / $124.34	Facility	26	$32.95	$32.95	$124.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $61.78 / $109.27	Professional		$48.24	$61.78	$109.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.95 / $41.82 / $76.06	Professional	26	$32.95	$41.82	$76.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.29 / $19.72 / $27.17	Professional	TC	$15.29	$19.72	$27.17
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $51.44 / $107.71 / $231.56	Facility	26	$51.44	$107.71	$231.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $88.84 / $404.61	Professional		$51.82	$88.84	$404.61
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.27 / $61.61 / $402.86	Professional	26	$39.27	$61.61	$402.86
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $17.48 / $27.23 / $402.86	Professional	TC	$17.48	$27.23	$402.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.82 / $89.97 / $119.56	Professional	26	$53.82	$89.97	$119.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $125.52 / $210.81	Professional		$75.20	$125.52	$210.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.67 / $86.39 / $144.52	Professional	26	$51.67	$86.39	$144.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.39 / $39.63 / $66.29	Professional	TC	$23.39	$39.63	$66.29
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $66.23 / $119.57	Professional		$26.61	$66.23	$119.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $152.66 / $244.59	Professional		$80.69	$152.66	$244.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $105.15 / $145.11	Professional	26	$56.93	$105.15	$145.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $43.19 / $61.83	Professional	TC	$23.76	$43.19	$61.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $66.72 / $126.42	Professional		$64.91	$66.72	$126.42
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $107.57 / $231.56 / $231.56	Facility	26	$107.57	$231.56	$231.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $95.16 / $404.61	Professional		$66.37	$95.16	$404.61
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $43.89 / $67.88 / $402.86	Professional	26	$43.89	$67.88	$402.86
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $20.72 / $31.14 / $402.86	Professional	TC	$20.72	$31.14	$402.86
United Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $88.84 / $169.31	Professional		$66.37	$88.84	$169.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.90 / $61.61 / $123.93	Professional	26	$42.90	$61.61	$123.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.25 / $26.40 / $52.46	Professional	TC	$20.25	$26.40	$52.46