Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.89 / $69.89 / $263.95	Facility	26	$69.89	$69.89	$263.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $142.81 / $169.96	Professional		$109.05	$142.81	$169.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.15 / $54.40 / $60.82	Professional	TC	$39.15	$54.40	$60.82
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $103.00 / $219.19 / $454.05	Facility	26	$103.00	$219.19	$454.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $225.18 / $1,161.00	Professional		$117.81	$225.18	$1,161.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $49.13 / $101.25 / $602.60	Professional	TC	$49.13	$101.25	$602.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $298.86 / $479.39	Professional		$187.00	$298.86	$479.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $71.87 / $121.31 / $186.35	Professional	TC	$71.87	$121.31	$186.35
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $134.47 / $236.67	Professional		$73.95	$134.47	$236.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $178.59 / $336.36 / $474.69	Professional		$178.59	$336.36	$474.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $65.95 / $120.03 / $147.38	Professional	TC	$65.95	$120.03	$147.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $130.30 / $133.93	Professional		$130.30	$130.30	$133.93
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $219.19 / $219.19 / $454.05	Facility	26	$219.19	$219.19	$454.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $274.91 / $1,161.00	Professional		$170.34	$274.91	$1,161.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $60.81 / $114.33 / $602.60	Professional	TC	$60.81	$114.33	$602.60
United Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $225.18 / $440.60	Professional		$162.30	$225.18	$440.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.31 / $97.94 / $165.84	Professional	TC	$56.31	$97.94	$165.84