Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.90 / $31.90 / $106.95	Facility	26	$31.90	$31.90	$106.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $66.84 / $224.92	Professional		$39.33	$66.84	$224.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.90 / $40.43 / $63.35	Professional	26	$31.90	$40.43	$63.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $7.43 / $20.25 / $157.76	Professional	TC	$7.43	$20.25	$157.76
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.96 / $93.39 / $200.31	Facility	26	$43.96	$93.39	$200.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $170.60 / $886.70	Professional		$108.29	$170.60	$886.70
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.04 / $53.10 / $414.43	Professional	26	$34.04	$53.10	$414.43
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $78.68 / $117.50 / $639.54	Professional	TC	$78.68	$117.50	$639.54
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.52 / $77.76 / $103.34	Professional	26	$46.52	$77.76	$103.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $213.76 / $441.18	Professional		$104.98	$213.76	$441.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.95 / $79.36 / $125.29	Professional	26	$44.95	$79.36	$125.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.24 / $157.53 / $325.12	Professional	TC	$44.24	$157.53	$325.12
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $144.68 / $258.33	Professional		$51.82	$144.68	$258.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $310.94 / $438.17	Professional		$168.35	$310.94	$438.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $90.44 / $124.73	Professional	26	$49.15	$90.44	$124.73
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $119.19 / $220.14 / $303.82	Professional	TC	$119.19	$220.14	$303.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $61.31 / $113.96	Professional		$43.95	$61.31	$113.96
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $92.97 / $200.31 / $200.31	Facility	26	$92.97	$200.31	$200.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $175.70 / $886.70	Professional		$117.17	$175.70	$886.70
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $61.67 / $414.43	Professional	26	$40.95	$61.67	$414.43
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $70.42 / $117.50 / $639.54	Professional	TC	$70.42	$117.50	$639.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.74 / $170.60 / $347.92	Professional		$112.74	$170.60	$347.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $53.10 / $96.24	Professional	26	$40.90	$53.10	$96.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.31 / $99.12 / $234.08	Professional	TC	$69.31	$99.12	$234.08