Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $47.46 / $86.09	Professional		$45.21	$47.46	$86.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.91 / $20.26 / $77.95	Professional	26	$16.91	$20.26	$77.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.80 / $28.39 / $50.25	Professional	TC	$25.80	$28.39	$50.25
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $123.31 / $123.31 / $123.31	Facility	26	$123.31	$123.31	$123.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $117.31 / $466.08	Professional		$48.05	$117.31	$466.08
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.60 / $39.61 / $186.58	Professional	26	$18.60	$39.61	$186.58
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.06 / $91.97 / $309.75	Professional	TC	$32.06	$91.97	$309.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $72.14 / $93.40	Professional		$59.78	$72.14	$93.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $34.96 / $45.50 / $45.50	Professional	TC	$34.96	$45.50	$45.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $70.54 / $139.62	Professional		$35.01	$70.54	$139.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.02 / $23.39 / $43.99	Professional	26	$13.02	$23.39	$43.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $44.81 / $100.54	Professional	TC	$21.34	$44.81	$100.54
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $85.29 / $154.83	Professional		$31.00	$85.29	$154.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $193.54 / $263.11	Professional		$93.32	$193.54	$263.11
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.31 / $57.29 / $77.26	Professional	26	$30.31	$57.29	$77.26
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $72.91 / $138.31 / $185.85	Professional	TC	$72.91	$138.31	$185.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $105.57 / $105.57	Professional		$105.57	$105.57	$105.57
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $123.31 / $123.31 / $123.31	Facility	26	$123.31	$123.31	$123.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $102.61 / $466.08	Professional		$44.82	$102.61	$466.08
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $38.17 / $186.58	Professional	26	$18.44	$38.17	$186.58
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $74.72 / $309.75	Professional	TC	$30.90	$74.72	$309.75
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $73.29 / $201.18	Professional		$40.86	$73.29	$201.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $28.27 / $61.03	Professional	26	$17.14	$28.27	$61.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.54 / $50.06 / $124.46	Professional	TC	$23.54	$50.06	$124.46