Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $85.11	Facility	26	$41.69	$41.69	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $251.19	Professional		$66.07	$97.72	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $190.55	Professional	26	$38.90	$54.95	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $42.66 / $93.33	Professional	TC	$23.99	$42.66	$93.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $97.72 / $263.03	Facility	26	$32.36	$97.72	$263.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $676.08	Professional		$69.18	$117.49	$676.08
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $63.10 / $269.15	Professional	26	$38.90	$63.10	$269.15
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $56.23 / $288.40	Professional	TC	$34.67	$56.23	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $263.03	Professional		$100.00	$162.18	$263.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $72.44 / $147.91	Professional	26	$46.77	$72.44	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $97.72 / $316.23	Professional	TC	$53.70	$97.72	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $295.12	Professional		$87.10	$128.82	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $141.25	Professional	26	$45.71	$72.44	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $61.66 / $141.25	Professional	TC	$33.88	$61.66	$141.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $125.89	Professional		$26.92	$57.54	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $223.87	Professional		$85.11	$117.49	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $74.13 / $114.82	Professional	26	$41.69	$74.13	$114.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $74.13 / $117.49	Professional	TC	$43.65	$74.13	$117.49
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $97.72 / $263.03	Facility	26	$32.36	$97.72	$263.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $676.08	Professional		$69.18	$117.49	$676.08
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $63.10 / $269.15	Professional	26	$38.90	$63.10	$269.15
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $56.23 / $288.40	Professional	TC	$34.67	$56.23	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $245.47	Professional		$81.28	$117.49	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $67.61 / $123.03	Professional	26	$43.65	$67.61	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $52.48 / $128.82	Professional	TC	$33.11	$52.48	$128.82