Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $30.99 / $74.31	Professional		$25.08	$30.99	$74.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.85 / $23.77 / $39.15	Professional	26	$17.85	$23.77	$39.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.04 / $14.87 / $26.82	Professional	52	$12.04	$14.87	$26.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1.32 / $4.22 / $35.79	Professional	TC	$1.32	$4.22	$35.79
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.51 / $26.51 / $39.76	Facility	26	$26.51	$26.51	$39.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $47.38 / $312.93	Professional		$26.85	$47.38	$312.93
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $33.92 / $156.38	Professional	26	$20.39	$33.92	$156.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $4.12 / $8.65 / $217.43	Professional	TC	$4.12	$8.65	$217.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $18.30 / $26.29	Professional		$14.34	$18.30	$26.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.68 / $47.03 / $62.21	Professional	26	$32.68	$47.03	$62.21
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $16.84 / $27.61 / $36.53	Professional	52	$16.84	$27.61	$36.53
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $5.83 / $8.55 / $10.86	Professional	TC	$5.83	$8.55	$10.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $53.84 / $84.97	Professional		$22.20	$53.84	$84.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.47 / $34.99 / $71.31	Professional	26	$19.47	$34.99	$71.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.49 / $9.68 / $55.17	Professional	TC	$3.49	$9.68	$55.17
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $19.35 / $42.98	Professional		$3.17	$19.35	$42.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $47.69 / $78.03	Professional		$26.42	$47.69	$78.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $22.73 / $39.29 / $67.29	Professional	26	$22.73	$39.29	$67.29
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $3.69 / $6.58 / $10.90	Professional	TC	$3.69	$6.58	$10.90
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $56.66 / $312.93	Professional		$28.33	$56.66	$312.93
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $34.22 / $156.38	Professional	26	$20.39	$34.22	$156.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $4.05 / $8.90 / $217.43	Professional	TC	$4.05	$8.90	$217.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $45.00 / $81.83	Professional		$26.96	$45.00	$81.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $30.31 / $68.93	Professional	26	$18.11	$30.31	$68.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.89 / $8.33 / $46.36	Professional	TC	$3.89	$8.33	$46.36