Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $112.20	Professional		$46.77	$57.54	$112.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $60.26	Professional	26	$15.14	$19.95	$60.26
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $38.02 / $67.61	Professional	TC	$30.90	$38.02	$67.61
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $436.52	Professional		$47.86	$91.20	$436.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $33.11 / $158.49	Professional	26	$17.78	$33.11	$158.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $60.26 / $281.84	Professional	TC	$31.62	$60.26	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $151.36	Professional		$33.88	$66.07	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $22.91 / $53.70	Professional	26	$12.59	$22.91	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $42.66 / $95.50	Professional	TC	$23.44	$42.66	$95.50
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $63.10 / $117.49	Professional		$30.20	$63.10	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $190.55	Professional		$69.18	$131.83	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $48.98 / $74.13	Professional	26	$28.84	$48.98	$74.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $83.18 / $125.89	Professional	TC	$47.86	$83.18	$125.89
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $436.52	Professional		$51.29	$91.20	$436.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $36.31 / $158.49	Professional	26	$17.78	$36.31	$158.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $64.57 / $281.84	Professional	TC	$33.11	$64.57	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $181.97	Professional		$47.86	$87.10	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $30.20 / $66.07	Professional	26	$15.49	$30.20	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $56.23 / $120.23	Professional	TC	$33.11	$56.23	$120.23