Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $51.51 / $86.02	Professional		$38.97	$51.51	$86.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.36 / $20.77 / $32.14	Professional	26	$17.36	$20.77	$32.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.49 / $29.17 / $57.97	Professional	TC	$21.49	$29.17	$57.97
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.14 / $22.14 / $22.14	Facility	26	$22.14	$22.14	$22.14
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $70.09 / $349.41	Professional		$41.11	$70.09	$349.41
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.32 / $28.88 / $128.44	Professional	26	$17.32	$28.88	$128.44
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $24.11 / $43.67 / $227.99	Professional	TC	$24.11	$43.67	$227.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $58.13 / $81.79	Professional		$44.61	$58.13	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $63.83 / $145.03	Professional		$36.61	$63.83	$145.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.50 / $24.93 / $59.56	Professional	26	$16.50	$24.93	$59.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.17 / $41.34 / $85.48	Professional	TC	$20.17	$41.34	$85.48
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $30.94 / $66.23	Professional		$15.06	$30.94	$66.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.34 / $126.55	Professional		$32.36	$57.34	$126.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.23 / $30.73 / $55.48	Professional	26	$16.23	$30.73	$55.48
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $29.25 / $46.53 / $71.68	Professional	TC	$29.25	$46.53	$71.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $53.80 / $88.07	Professional		$53.80	$53.80	$88.07
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $69.09 / $349.41	Professional		$42.78	$69.09	$349.41
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $29.00 / $128.44	Professional	26	$17.26	$29.00	$128.44
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $23.79 / $40.65 / $227.99	Professional	TC	$23.79	$40.65	$227.99
Tufts Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $62.57 / $93.93	Professional		$41.60	$62.57	$93.93
United Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $63.07 / $114.21	Professional		$37.54	$63.07	$114.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.03 / $27.06 / $49.16	Professional	26	$15.03	$27.06	$49.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.40 / $34.78 / $66.98	Professional	TC	$22.40	$34.78	$66.98