Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $165.96	Professional		$47.86	$64.57	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $38.90 / $141.25	Professional	26	$28.18	$38.90	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $38.02	Professional	TC	$19.05	$25.12	$38.02
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $398.11	Professional		$44.67	$81.28	$398.11
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $48.98 / $346.74	Professional	26	$26.92	$48.98	$346.74
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $35.48 / $165.96	Professional	TC	$19.95	$35.48	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $109.65	Professional		$60.26	$81.28	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $186.21	Professional		$44.67	$74.13	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $43.65 / $104.71	Professional	26	$25.70	$43.65	$104.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $81.28	Professional	TC	$19.05	$30.20	$81.28
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $44.67 / $97.72	Professional		$21.88	$44.67	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $169.82	Professional		$52.48	$79.43	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $45.71 / $95.50	Professional	26	$29.51	$45.71	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $35.48 / $74.13	Professional	TC	$22.91	$35.48	$74.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $199.53	Professional		$43.65	$100.00	$199.53
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $398.11	Professional		$44.67	$81.28	$398.11
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $48.98 / $346.74	Professional	26	$26.92	$48.98	$346.74
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $35.48 / $165.96	Professional	TC	$19.95	$35.48	$165.96
Tufts Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $100.00	Professional		$46.77	$46.77	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $151.36	Professional		$40.74	$74.13	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $43.65 / $87.10	Professional	26	$24.55	$43.65	$87.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $30.90 / $67.61	Professional	TC	$16.60	$30.90	$67.61