Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $64.09 / $94.92	Professional		$52.84	$64.09	$94.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.92 / $37.79 / $97.67	Professional	26	$30.92	$37.79	$97.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.77 / $26.28 / $48.94	Professional	TC	$21.77	$26.28	$48.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.77 / $39.77 / $39.77	Facility	26	$39.77	$39.77	$39.77
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.70 / $87.64 / $396.08	Professional		$44.70	$87.64	$396.08
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.83 / $50.64 / $347.34	Professional	26	$27.83	$50.64	$347.34
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $21.21 / $38.58 / $166.53	Professional	TC	$21.21	$38.58	$166.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $78.56 / $110.55	Professional		$60.30	$78.56	$110.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $78.63 / $194.60	Professional		$44.94	$78.63	$194.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $44.65 / $106.98	Professional	26	$25.80	$44.65	$106.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $34.11 / $87.62	Professional	TC	$18.80	$34.11	$87.62
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $43.24 / $89.63	Professional		$21.08	$43.24	$89.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $105.90 / $173.68	Professional		$66.50	$105.90	$173.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $58.45 / $99.13	Professional	26	$29.02	$58.45	$99.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $43.54 / $74.40	Professional	TC	$21.83	$43.54	$74.40
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $105.56 / $541.45	Professional		$43.76	$105.56	$541.45
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.64 / $396.08	Professional		$42.66	$87.64	$396.08
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $26.99 / $50.61 / $347.34	Professional	26	$26.99	$50.61	$347.34
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $37.03 / $166.53	Professional	TC	$18.89	$37.03	$166.53
Tufts Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $98.59 / $207.60	Professional		$46.71	$98.59	$207.60
United Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $77.52 / $160.63	Professional		$41.25	$77.52	$160.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.96 / $46.34 / $83.84	Professional	26	$25.96	$46.34	$83.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.07 / $33.59 / $68.65	Professional	TC	$16.07	$33.59	$68.65