Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $218.78	Professional		$44.67	$67.61	$218.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.44 / $83.18	Professional	26	$18.20	$23.44	$83.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $41.69 / $158.49	Professional	TC	$25.12	$41.69	$158.49
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $467.74	Professional		$45.71	$104.71	$467.74
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $39.81 / $186.21	Professional	26	$18.62	$39.81	$186.21
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $85.11 / $309.03	Professional	TC	$30.90	$85.11	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $93.33	Professional		$60.26	$72.44	$93.33
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $45.71 / $45.71	Professional	TC	$34.67	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $147.91	Professional		$36.31	$70.79	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $23.99 / $51.29	Professional	26	$12.88	$23.99	$51.29
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $44.67 / $107.15	Professional	TC	$22.39	$44.67	$107.15
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $89.13 / $158.49	Professional		$30.90	$89.13	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $251.19	Professional		$91.20	$173.78	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $51.29 / $74.13	Professional	26	$28.84	$51.29	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $123.03 / $177.83	Professional	TC	$64.57	$123.03	$177.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $467.74	Professional		$47.86	$104.71	$467.74
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $39.81 / $186.21	Professional	26	$18.62	$39.81	$186.21
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $91.20 / $309.03	Professional	TC	$32.36	$91.20	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $223.87	Professional		$40.74	$87.10	$223.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.84 / $67.61	Professional	26	$16.98	$28.84	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $57.54 / $162.18	Professional	TC	$25.70	$57.54	$162.18