Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $71.78 / $235.96	Professional		$57.75	$71.78	$235.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.30 / $21.41 / $51.69	Professional	26	$18.30	$21.41	$51.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.45 / $50.37 / $184.26	Professional	TC	$39.45	$50.37	$184.26
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $164.49 / $164.49 / $164.49	Facility	26	$164.49	$164.49	$164.49
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $172.07 / $730.19	Professional		$80.52	$172.07	$730.19
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $21.92 / $43.45 / $199.12	Professional	26	$21.92	$43.45	$199.12
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $59.00 / $123.98 / $531.07	Professional	TC	$59.00	$123.98	$531.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $162.41 / $414.99	Professional		$162.41	$162.41	$414.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.37 / $62.66 / $84.62	Professional	26	$45.37	$62.66	$84.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $98.94 / $230.99	Professional		$58.03	$98.94	$230.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $28.20 / $56.60	Professional	26	$16.14	$28.20	$56.60
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.43 / $75.19 / $169.69	Professional	TC	$40.43	$75.19	$169.69
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $140.66 / $241.47	Professional		$41.32	$140.66	$241.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $303.45 / $409.27	Professional		$160.56	$303.45	$409.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $76.64 / $103.36	Professional	26	$40.54	$76.64	$103.36
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $120.01 / $226.03 / $305.91	Professional	TC	$120.01	$226.03	$305.91
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $164.49 / $164.49 / $164.49	Facility	26	$164.49	$164.49	$164.49
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $134.87 / $730.19	Professional		$79.12	$134.87	$730.19
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.89 / $37.31 / $199.12	Professional	26	$19.89	$37.31	$199.12
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $53.98 / $105.91 / $531.07	Professional	TC	$53.98	$105.91	$531.07
United Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $124.03 / $288.01	Professional		$63.15	$124.03	$288.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $35.02 / $78.01	Professional	26	$19.78	$35.02	$78.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.98 / $95.87 / $251.82	Professional	TC	$40.98	$95.87	$251.82