Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $51.35 / $94.11	Professional		$37.99	$51.35	$94.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.25 / $31.76 / $88.70	Professional	26	$25.25	$31.76	$88.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.74 / $21.99 / $36.54	Professional	TC	$12.74	$21.99	$36.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $182.16 / $182.16 / $182.16	Facility	26	$182.16	$182.16	$182.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $86.61 / $353.10	Professional		$42.98	$86.61	$353.10
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.45 / $58.76 / $231.59	Professional	26	$27.45	$58.76	$231.59
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $15.53 / $31.75 / $121.51	Professional	TC	$15.53	$31.75	$121.51
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.22 / $69.37 / $107.75	Professional	26	$50.22	$69.37	$107.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $51.17 / $107.79	Professional		$29.58	$51.17	$107.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.22 / $35.90 / $69.18	Professional	26	$19.22	$35.90	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.18 / $16.68 / $36.60	Professional	TC	$10.18	$16.68	$36.60
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $51.62 / $98.87	Professional		$25.77	$51.62	$98.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $126.33 / $173.60	Professional		$58.14	$126.33	$173.60
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.65 / $84.39 / $113.32	Professional	26	$44.65	$84.39	$113.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $23.76 / $45.07 / $60.56	Professional	TC	$23.76	$45.07	$60.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $59.49 / $282.95	Professional		$56.59	$59.49	$282.95
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $182.16 / $182.16 / $182.16	Facility	26	$182.16	$182.16	$182.16
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $80.84 / $353.10	Professional		$38.84	$80.84	$353.10
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.95 / $57.57 / $231.59	Professional	26	$25.95	$57.57	$231.59
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $12.99 / $26.88 / $121.51	Professional	TC	$12.99	$26.88	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $63.51 / $142.00	Professional		$36.34	$63.51	$142.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.35 / $44.65 / $98.90	Professional	26	$23.35	$44.65	$98.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.65 / $20.79 / $52.69	Professional	TC	$10.65	$20.79	$52.69