Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $63.99 / $154.85	Professional		$50.92	$63.99	$154.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.03 / $24.94 / $85.10	Professional	26	$21.03	$24.94	$85.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $38.96 / $99.38	Professional	TC	$29.89	$38.96	$99.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.76 / $134.76 / $134.76	Facility	26	$134.76	$134.76	$134.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $108.50 / $424.65	Professional		$47.85	$108.50	$424.65
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $43.85 / $214.00	Professional	26	$20.74	$43.85	$214.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.96 / $81.72 / $272.93	Professional	TC	$28.96	$81.72	$272.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $76.23 / $76.23	Professional		$74.02	$76.23	$76.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.94 / $47.75 / $69.33	Professional	26	$29.94	$47.75	$69.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.35 / $46.30 / $46.30	Professional	TC	$45.35	$46.30	$46.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $58.46 / $140.53	Professional		$38.56	$58.46	$140.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.23 / $24.34 / $51.55	Professional	26	$14.23	$24.34	$51.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $35.63 / $93.38	Professional	TC	$21.94	$35.63	$93.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $78.25 / $143.06	Professional		$33.86	$78.25	$143.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $181.86 / $249.49	Professional		$88.87	$181.86	$249.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.18 / $62.71 / $84.21	Professional	26	$33.18	$62.71	$84.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $65.13 / $123.55 / $166.02	Professional	TC	$65.13	$123.55	$166.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $41.92 / $41.92	Professional		$41.92	$41.92	$41.92
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $134.76 / $134.76 / $134.76	Facility	26	$134.76	$134.76	$134.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $102.48 / $424.65	Professional		$47.45	$102.48	$424.65
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $42.32 / $214.00	Professional	26	$20.74	$42.32	$214.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $64.20 / $272.93	Professional	TC	$28.83	$64.20	$272.93
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $75.56 / $193.72	Professional		$39.54	$75.56	$193.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.02 / $30.23 / $67.69	Professional	26	$19.02	$30.23	$67.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.45 / $45.09 / $120.72	Professional	TC	$26.45	$45.09	$120.72