Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $20.05 / $75.58	Facility	26	$20.05	$20.05	$75.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $93.98 / $232.80	Professional		$76.95	$93.98	$232.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $34.34 / $148.19	Professional	26	$20.05	$34.34	$148.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.91 / $69.06 / $171.87	Professional	TC	$56.91	$69.06	$171.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $36.85 / $72.02 / $162.63	Facility	26	$36.85	$72.02	$162.63
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $161.60 / $875.57	Professional		$78.37	$161.60	$875.57
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.47 / $49.48 / $212.17	Professional	26	$23.47	$49.48	$212.17
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $28.03 / $124.13 / $663.40	Professional	TC	$28.03	$124.13	$663.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.79 / $230.66 / $348.74	Professional		$145.79	$230.66	$348.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.79 / $51.52 / $81.94	Professional	26	$36.79	$51.52	$81.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $109.00 / $182.72 / $266.81	Professional	TC	$109.00	$182.72	$266.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $117.08 / $255.82	Professional		$55.28	$117.08	$255.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.35 / $29.17 / $69.58	Professional	26	$15.35	$29.17	$69.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.64 / $88.47 / $186.24	Professional	TC	$40.64	$88.47	$186.24
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $142.55 / $238.35	Professional		$41.57	$142.55	$238.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $288.14 / $398.99	Professional		$158.52	$288.14	$398.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $73.86 / $101.88	Professional	26	$40.14	$73.86	$101.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $118.37 / $217.80 / $300.42	Professional	TC	$118.37	$217.80	$300.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $74.34 / $240.63	Professional		$50.81	$74.34	$240.63
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $78.48 / $162.63 / $162.63	Facility	26	$78.48	$162.63	$162.63
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $161.60 / $875.57	Professional		$78.37	$161.60	$875.57
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.25 / $39.11 / $212.17	Professional	26	$19.25	$39.11	$212.17
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $59.12 / $124.13 / $663.40	Professional	TC	$59.12	$124.13	$663.40
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $148.26 / $404.48	Professional		$78.37	$148.26	$404.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.25 / $37.21 / $80.83	Professional	26	$19.25	$37.21	$80.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $59.12 / $110.94 / $297.94	Professional	TC	$59.12	$110.94	$297.94