Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $117.49	Professional		$38.90	$52.48	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.91 / $27.54	Professional	26	$6.03	$8.91	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $42.66 / $63.10	Professional	TC	$32.36	$42.66	$63.10
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $9.33 / $100.00	Facility	26	$6.46	$9.33	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $346.74	Professional		$37.15	$70.79	$346.74
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.75 / $165.96	Professional	26	$6.76	$11.75	$165.96
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $63.10 / $288.40	Professional	TC	$33.88	$63.10	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $97.72	Professional		$53.70	$72.44	$97.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $100.00 / $131.83	Professional	TC	$57.54	$100.00	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $165.96	Professional		$38.90	$69.18	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $10.72 / $25.12	Professional	26	$6.46	$10.72	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $58.88 / $141.25	Professional	TC	$30.20	$58.88	$141.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $36.31 / $85.11	Professional		$6.17	$36.31	$85.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $102.33 / $158.49	Professional		$45.71	$102.33	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $16.60 / $25.12	Professional	26	$7.08	$16.60	$25.12
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $87.10 / $134.90	Professional	TC	$38.02	$87.10	$134.90
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $6.46 / $9.33 / $100.00	Facility	26	$6.46	$9.33	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $346.74	Professional		$35.48	$70.79	$346.74
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $11.75 / $165.96	Professional	26	$6.76	$11.75	$165.96
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $60.26 / $288.40	Professional	TC	$33.88	$60.26	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $144.54	Professional		$32.36	$64.57	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $10.47 / $22.39	Professional	26	$6.17	$10.47	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $53.70 / $123.03	Professional	TC	$27.54	$53.70	$123.03