Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $295.12	Professional		$69.18	$91.20	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $93.33 / $407.38	Professional	26	$48.98	$93.33	$407.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $109.65	Professional	TC	$21.88	$36.31	$109.65
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $134.90 / $588.84	Professional		$64.57	$134.90	$588.84
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $95.50 / $380.19	Professional	26	$44.67	$95.50	$380.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $47.86 / $204.17	Professional	TC	$22.91	$47.86	$204.17
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $158.49	Professional	26	$69.18	$117.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $181.97	Professional		$50.12	$93.33	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $58.88 / $125.89	Professional	26	$31.62	$58.88	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $30.20 / $58.88	Professional	TC	$17.38	$30.20	$58.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $85.11 / $162.18	Professional		$41.69	$85.11	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $263.03	Professional		$97.72	$186.21	$263.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $125.89 / $181.97	Professional	26	$69.18	$125.89	$181.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $64.57 / $95.50	Professional	TC	$34.67	$64.57	$95.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $194.98	Professional		$52.48	$104.71	$194.98
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $588.84	Professional		$70.79	$134.90	$588.84
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $95.50 / $380.19	Professional	26	$45.71	$95.50	$380.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $47.86 / $204.17	Professional	TC	$24.55	$47.86	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $245.47	Professional		$61.66	$107.15	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $70.79 / $162.18	Professional	26	$42.66	$70.79	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $37.15 / $87.10	Professional	TC	$19.50	$37.15	$87.10