Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.61 / $78.61 / $275.39	Facility	26	$78.61	$78.61	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $715.51 / $1,103.24	Professional		$613.07	$715.51	$1,103.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $534.46 / $644.71 / $964.10	Professional	TC	$534.46	$644.71	$964.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $109.90 / $231.13 / $478.18	Facility	26	$109.90	$231.13	$478.18
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $327.57 / $1,222.22 / $6,422.07	Professional		$327.57	$1,222.22	$6,422.07
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $566.95 / $1,085.74 / $5,800.59	Professional	TC	$566.95	$1,085.74	$5,800.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.80 / $1,797.47 / $3,169.39	Professional		$457.80	$1,797.47	$3,169.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $848.08 / $1,739.67 / $2,867.74	Professional	TC	$848.08	$1,739.67	$2,867.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $1,167.79 / $1,842.51	Professional		$125.88	$1,167.79	$1,842.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,155.07 / $2,060.30 / $2,907.31	Professional		$1,155.07	$2,060.30	$2,907.31
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $1,033.01 / $1,907.97 / $2,633.14	Professional	TC	$1,033.01	$1,907.97	$2,633.14
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $223.06 / $478.18 / $478.18	Facility	26	$223.06	$478.18	$478.18
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $1,257.97 / $6,422.07	Professional		$323.58	$1,257.97	$6,422.07
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $245.30 / $1,352.25 / $5,800.59	Professional	TC	$245.30	$1,352.25	$5,800.59
United Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $1,026.52 / $2,261.63	Professional		$295.18	$1,026.52	$2,261.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.85 / $1,085.74 / $2,288.12	Professional	TC	$211.85	$1,085.74	$2,288.12