Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $169.82	Professional		$91.20	$117.49	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $15.14 / $27.54	Professional	26	$12.88	$15.14	$27.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $102.33 / $138.04	Professional	TC	$77.62	$102.33	$138.04
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $23.99	Facility	26	$15.85	$15.85	$23.99
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $794.33	Professional		$97.72	$158.49	$794.33
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.95 / $134.90	Professional	26	$13.18	$19.95	$134.90
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $141.25 / $707.95	Professional	TC	$85.11	$141.25	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $22.39 / $38.02	Professional	26	$16.98	$22.39	$38.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $173.78 / $275.42	Professional	TC	$147.91	$173.78	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $389.05	Professional		$87.10	$144.54	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $20.42 / $42.66	Professional	26	$12.30	$20.42	$42.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $128.82 / $346.74	Professional	TC	$74.13	$128.82	$346.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $97.72 / $223.87	Professional		$11.22	$97.72	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $354.81	Professional		$109.65	$177.83	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.95 / $38.90	Professional	26	$13.18	$19.95	$38.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $158.49 / $316.23	Professional	TC	$97.72	$158.49	$316.23
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $23.99	Facility	26	$15.85	$15.85	$23.99
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $794.33	Professional		$97.72	$158.49	$794.33
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.95 / $134.90	Professional	26	$13.18	$19.95	$134.90
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $141.25 / $707.95	Professional	TC	$85.11	$141.25	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $346.74	Professional		$89.13	$138.04	$346.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.78 / $38.90	Professional	26	$12.59	$17.78	$38.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $123.03 / $316.23	Professional	TC	$81.28	$123.03	$316.23