Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $40.74 / $81.28	Facility	26	$39.81	$40.74	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $288.40	Professional		$66.07	$97.72	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $61.66 / $165.96	Professional	26	$38.90	$61.66	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $38.02 / $81.28	Professional	TC	$20.89	$38.02	$81.28
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 $66.07 / $109.65 / $616.60	Professional		$66.07	$109.65	$616.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $60.26 / $263.03	Professional	26	$38.90	$60.26	$263.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $51.29 / $263.03	Professional	TC	$31.62	$51.29	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $478.63	Professional		$95.50	$162.18	$478.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $70.79 / $147.91	Professional	26	$46.77	$70.79	$147.91
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $89.13 / $281.84	Professional	TC	$47.86	$89.13	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $295.12	Professional		$83.18	$120.23	$295.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $67.61 / $141.25	Professional	26	$44.67	$67.61	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $56.23 / $128.82	Professional	TC	$30.90	$56.23	$128.82
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $117.49	Professional		$25.70	$54.95	$117.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $213.80	Professional		$81.28	$117.49	$213.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $112.20	Professional	26	$41.69	$72.44	$112.20
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $63.10 / $104.71	Professional	TC	$39.81	$63.10	$104.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $144.54	Professional		$60.26	$63.10	$144.54
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 $66.07 / $112.20 / $616.60	Professional		$66.07	$112.20	$616.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $61.66 / $263.03	Professional	26	$38.90	$61.66	$263.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $51.29 / $263.03	Professional	TC	$31.62	$51.29	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $234.42	Professional		$75.86	$109.65	$234.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $123.03	Professional	26	$43.65	$64.57	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $47.86 / $117.49	Professional	TC	$29.51	$47.86	$117.49