Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $89.13	Professional		$23.99	$30.20	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $23.99 / $33.88	Professional	26	$16.98	$23.99	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.98 / $28.84	Professional	TC	$2.00	$3.98	$28.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $39.81	Facility	26	$26.30	$26.30	$39.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $204.17	Professional		$26.92	$43.65	$204.17
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $154.88	Professional	26	$19.50	$32.36	$154.88
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $8.32 / $218.78	Professional	TC	$3.89	$8.32	$218.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.88 / $64.57	Professional	26	$28.84	$33.88	$64.57
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $14.45 / $19.50 / $30.90	Professional	52	$14.45	$19.50	$30.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.01 / $6.61 / $11.22	Professional	TC	$5.01	$6.61	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $47.86 / $85.11	Professional		$23.44	$47.86	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $26.92 / $70.79	Professional	26	$19.50	$26.92	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.47 / $8.71 / $54.95	Professional	TC	$3.47	$8.71	$54.95
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $19.50 / $43.65	Professional		$3.24	$19.50	$43.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $75.86	Professional		$25.70	$40.74	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $32.36 / $64.57	Professional	26	$20.89	$32.36	$64.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $5.75 / $12.02	Professional	TC	$3.63	$5.75	$12.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $39.81	Facility	26	$26.30	$26.30	$39.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $204.17	Professional		$26.92	$43.65	$204.17
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $32.36 / $154.88	Professional	26	$19.50	$32.36	$154.88
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $8.32 / $218.78	Professional	TC	$3.89	$8.32	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $81.28	Professional		$25.70	$39.81	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $29.51 / $63.10	Professional	26	$17.78	$29.51	$63.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.55 / $5.89 / $39.81	Professional	TC	$3.55	$5.89	$39.81