Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $79.43	Professional		$34.67	$47.86	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $19.95 / $29.51	Professional	26	$15.85	$19.95	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $47.86	Professional	TC	$19.05	$25.12	$47.86
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	26	$22.39	$22.39	$22.39
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $346.74	Professional		$39.81	$66.07	$346.74
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.84 / $128.82	Professional	26	$16.60	$28.84	$128.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $39.81 / $229.09	Professional	TC	$22.91	$39.81	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $81.28	Professional		$44.67	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $138.04	Professional		$36.31	$61.66	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $23.99 / $57.54	Professional	26	$15.49	$23.99	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $34.67 / $79.43	Professional	TC	$19.50	$34.67	$79.43
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $72.44	Professional		$15.49	$33.11	$72.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $125.89	Professional		$38.90	$63.10	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.12 / $54.95	Professional	26	$16.60	$25.12	$54.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $36.31 / $72.44	Professional	TC	$22.39	$36.31	$72.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $87.10	Professional		$53.70	$64.57	$87.10
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	26	$22.39	$22.39	$22.39
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $346.74	Professional		$39.81	$66.07	$346.74
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $28.84 / $128.82	Professional	26	$16.60	$28.84	$128.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $39.81 / $229.09	Professional	TC	$22.91	$39.81	$229.09
Tufts Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $91.20	Professional		$52.48	$61.66	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $114.82	Professional		$35.48	$57.54	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $24.55 / $48.98	Professional	26	$14.45	$24.55	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.11 / $70.79	Professional	TC	$19.95	$33.11	$70.79