Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $70.73 / $123.43	Professional		$58.92	$70.73	$123.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.36 / $19.57 / $211.23	Professional	26	$14.36	$19.57	$211.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $53.59 / $97.83	Professional	TC	$42.07	$53.59	$97.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $145.71 / $626.79	Professional		$64.84	$145.71	$626.79
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $34.65 / $171.71	Professional	26	$16.66	$34.65	$171.71
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $55.18 / $123.42 / $496.32	Professional	TC	$55.18	$123.42	$496.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $101.54 / $102.33	Professional		$73.84	$101.54	$102.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.26 / $36.27 / $48.98	Professional	26	$26.26	$36.27	$48.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $77.84 / $84.30 / $215.40	Professional	TC	$77.84	$84.30	$215.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $79.89 / $158.04	Professional		$44.35	$79.89	$158.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.54 / $20.05 / $40.38	Professional	26	$10.54	$20.05	$40.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.85 / $63.19 / $121.77	Professional	TC	$32.85	$63.19	$121.77
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $95.37 / $158.06	Professional		$23.92	$95.37	$158.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $198.96 / $268.33	Professional		$105.27	$198.96	$268.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.76 / $44.91 / $60.56	Professional	26	$23.76	$44.91	$60.56
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $81.51 / $154.05 / $207.77	Professional	TC	$81.51	$154.05	$207.77
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $145.71 / $626.79	Professional		$64.84	$145.71	$626.79
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.66 / $34.15 / $171.71	Professional	26	$16.66	$34.15	$171.71
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $53.84 / $113.13 / $496.32	Professional	TC	$53.84	$113.13	$496.32
United Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $107.21 / $235.66	Professional		$59.83	$107.21	$235.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.00 / $24.99 / $51.65	Professional	26	$15.00	$24.99	$51.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.87 / $80.20 / $185.47	Professional	TC	$49.87	$80.20	$185.47