Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.65 / $30.65 / $57.01	Facility	26	$30.65	$30.65	$57.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $66.23 / $142.49	Professional		$48.81	$66.23	$142.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.88 / $35.94 / $90.18	Professional	26	$28.88	$35.94	$90.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.25 / $23.59 / $59.56	Professional	TC	$17.25	$23.59	$59.56
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $32.70 / $72.78 / $152.05	Facility	26	$32.70	$72.78	$152.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $92.29 / $486.90	Professional		$55.30	$92.29	$486.90
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.84 / $47.45 / $196.52	Professional	26	$29.84	$47.45	$196.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.93 / $51.47 / $244.63	Professional	TC	$26.93	$51.47	$244.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $132.62 / $179.10	Professional		$96.02	$132.62	$179.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $57.85 / $78.37	Professional	26	$33.47	$57.85	$78.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.33 / $78.01 / $140.52	Professional	TC	$45.33	$78.01	$140.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.10 / $35.10 / $35.10	Facility	26	$35.10	$35.10	$35.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $117.71 / $246.79	Professional		$68.34	$117.71	$246.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.94 / $57.32 / $106.96	Professional	26	$33.94	$57.32	$106.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.57 / $56.62 / $119.45	Professional	TC	$27.57	$56.62	$119.45
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $44.04 / $94.99	Professional		$20.67	$44.04	$94.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $122.92 / $203.01	Professional		$43.83	$122.92	$203.01
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $35.22 / $67.13 / $98.54	Professional	26	$35.22	$67.13	$98.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.98 / $79.13 / $114.62	Professional	TC	$40.98	$79.13	$114.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $61.45 / $131.00	Professional		$40.53	$61.45	$131.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $72.78 / $152.05 / $152.05	Facility	26	$72.78	$152.05	$152.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $100.82 / $486.90	Professional		$64.78	$100.82	$486.90
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $34.97 / $53.41 / $196.52	Professional	26	$34.97	$53.41	$196.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $26.06 / $55.79 / $244.63	Professional	TC	$26.06	$55.79	$244.63
Tufts Facility/Professional Professional Modifier Low / Median / High Price $40.44 / $69.77 / $114.65	Professional		$40.44	$69.77	$114.65
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $84.18 / $181.44	Professional		$62.07	$84.18	$181.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.47 / $44.47 / $89.83	Professional	26	$33.47	$44.47	$89.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.06 / $41.16 / $102.76	Professional	TC	$26.06	$41.16	$102.76