Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.78 / $33.78 / $123.96	Facility	26	$33.78	$33.78	$123.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $219.86 / $262.16	Professional		$187.93	$219.86	$262.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.15 / $181.15 / $215.20	Professional	TC	$154.15	$181.15	$215.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $47.18 / $101.86 / $210.24	Facility	26	$47.18	$101.86	$210.24
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $314.88 / $1,438.07	Professional		$164.21	$314.88	$1,438.07
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $132.58 / $255.05 / $1,200.89	Professional	TC	$132.58	$255.05	$1,200.89
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $197.06 / $268.32 / $326.19	Professional	TC	$197.06	$268.32	$326.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.77 / $391.62 / $681.58	Professional		$271.77	$391.62	$681.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.04 / $318.35 / $553.34	Professional	TC	$221.04	$318.35	$553.34
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $229.88 / $378.96	Professional		$54.96	$229.88	$378.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $250.68 / $494.84 / $860.65	Professional		$250.68	$494.84	$860.65
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $198.25 / $353.22 / $493.76	Professional	TC	$198.25	$353.22	$493.76
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $101.86 / $210.24 / $210.24	Facility	26	$101.86	$210.24	$210.24
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $246.06 / $334.28 / $1,438.07	Professional		$246.06	$334.28	$1,438.07
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $201.76 / $276.45 / $1,200.89	Professional	TC	$201.76	$276.45	$1,200.89
United Facility/Professional Professional Modifier Low / Median / High Price $240.58 / $322.79 / $678.80	Professional		$240.58	$322.79	$678.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.73 / $263.05 / $559.75	Professional	TC	$195.73	$263.05	$559.75