Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $48.04 / $95.54	Professional		$39.29	$48.04	$95.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.86 / $28.01 / $105.28	Professional	26	$23.86	$28.01	$105.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.99 / $21.35 / $69.58	Professional	TC	$14.99	$21.35	$69.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $172.05 / $172.05 / $172.05	Facility	26	$172.05	$172.05	$172.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $85.53 / $473.28	Professional		$37.54	$85.53	$473.28
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.14 / $56.30 / $346.00	Professional	26	$25.14	$56.30	$346.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.54 / $36.93 / $330.22	Professional	TC	$16.54	$36.93	$330.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $107.06 / $147.43	Professional		$60.38	$107.06	$147.43
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.45 / $65.54 / $101.80	Professional	26	$47.45	$65.54	$101.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.55 / $21.93 / $21.93	Professional	TC	$19.55	$21.93	$21.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $54.61 / $101.79	Professional		$29.12	$54.61	$101.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.16 / $33.07 / $63.89	Professional	26	$18.16	$33.07	$63.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.02 / $20.07 / $39.68	Professional	TC	$11.02	$20.07	$39.68
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $49.65 / $100.03	Professional		$29.14	$49.65	$100.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $129.79 / $175.68	Professional		$62.58	$129.79	$175.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.19 / $80.03 / $107.54	Professional	26	$42.19	$80.03	$107.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $27.03 / $51.28 / $70.69	Professional	TC	$27.03	$51.28	$70.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $72.31 / $164.41	Professional		$53.45	$72.31	$164.41
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $172.05 / $172.05 / $172.05	Facility	26	$172.05	$172.05	$172.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $79.83 / $473.28	Professional		$36.86	$79.83	$473.28
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $54.42 / $346.00	Professional	26	$24.53	$54.42	$346.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $14.58 / $32.08 / $330.22	Professional	TC	$14.58	$32.08	$330.22
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $62.72 / $152.13	Professional		$34.67	$62.72	$152.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $38.86 / $84.50	Professional	26	$21.66	$38.86	$84.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.87 / $23.12 / $65.58	Professional	TC	$13.87	$23.12	$65.58