Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $50.95 / $58.84	Professional		$47.35	$50.95	$58.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.47 / $17.37 / $20.46	Professional	26	$15.47	$17.37	$20.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.26 / $33.65 / $40.69	Professional	TC	$31.26	$33.65	$40.69
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $120.37 / $120.37 / $120.37	Facility	26	$120.37	$120.37	$120.37
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $96.73 / $438.19	Professional		$47.92	$96.73	$438.19
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.92 / $36.53 / $158.25	Professional	26	$17.92	$36.53	$158.25
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.13 / $66.19 / $279.94	Professional	TC	$33.13	$66.19	$279.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $66.05 / $121.18	Professional		$34.14	$66.05	$121.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.92 / $21.31 / $42.07	Professional	26	$11.92	$21.31	$42.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $42.62 / $79.12	Professional	TC	$22.79	$42.62	$79.12
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $62.28 / $117.36	Professional		$30.18	$62.28	$117.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $151.29 / $204.79	Professional		$72.95	$151.29	$204.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.90 / $56.51 / $76.22	Professional	26	$29.90	$56.51	$76.22
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $50.79 / $100.26 / $132.82	Professional	TC	$50.79	$100.26	$132.82
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $120.37 / $120.37 / $120.37	Facility	26	$120.37	$120.37	$120.37
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $86.18 / $438.19	Professional		$47.92	$86.18	$438.19
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $15.51 / $29.87 / $158.25	Professional	26	$15.51	$29.87	$158.25
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $33.13 / $56.31 / $279.94	Professional	TC	$33.13	$56.31	$279.94
United Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $85.57 / $202.25	Professional		$46.30	$85.57	$202.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.96 / $28.67 / $62.74	Professional	26	$14.96	$28.67	$62.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $31.30 / $53.27 / $128.91	Professional	TC	$31.30	$53.27	$128.91