Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.64 / $36.65 / $68.17	Facility	26	$36.64	$36.65	$68.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $80.88 / $259.00	Professional		$57.42	$80.88	$259.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.21 / $46.43 / $126.00	Professional	26	$34.21	$46.43	$126.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $28.31 / $68.84	Professional	TC	$20.78	$28.31	$68.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $38.86 / $86.07 / $178.60	Facility	26	$38.86	$86.07	$178.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $109.41 / $568.04	Professional		$64.86	$109.41	$568.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.93 / $56.37 / $236.22	Professional	26	$35.93	$56.37	$236.22
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.16 / $59.43 / $285.88	Professional	TC	$31.16	$59.43	$285.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $151.76 / $208.75	Professional		$93.97	$151.76	$208.75
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $63.37 / $92.01	Professional	26	$41.42	$63.37	$92.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.55 / $90.44 / $162.91	Professional	TC	$52.55	$90.44	$162.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $133.13 / $289.39	Professional		$79.98	$133.13	$289.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.61 / $67.29 / $126.66	Professional	26	$40.61	$67.29	$126.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.77 / $65.64 / $139.59	Professional	TC	$31.77	$65.64	$139.59
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $51.56 / $110.10	Professional		$24.17	$51.56	$110.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $148.35 / $236.68	Professional		$44.24	$148.35	$236.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.36 / $79.87 / $115.69	Professional	26	$41.36	$79.87	$115.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $50.79 / $91.70 / $132.82	Professional	TC	$50.79	$91.70	$132.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $72.73 / $274.55	Professional		$49.33	$72.73	$274.55
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $85.71 / $178.60 / $178.60	Facility	26	$85.71	$178.60	$178.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $116.75 / $568.04	Professional		$76.61	$116.75	$568.04
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $41.80 / $63.85 / $236.22	Professional	26	$41.80	$63.85	$236.22
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $30.13 / $64.39 / $285.88	Professional	TC	$30.13	$64.39	$285.88
Tufts Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $81.59 / $134.04	Professional		$54.98	$81.59	$134.04
United Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $100.80 / $210.49	Professional		$73.26	$100.80	$210.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.70 / $52.36 / $106.75	Professional	26	$39.70	$52.36	$106.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.91 / $49.27 / $116.00	Professional	TC	$29.91	$49.27	$116.00