Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.75 / $40.76 / $75.81	Facility	26	$40.75	$40.76	$75.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $80.84 / $261.10	Professional		$62.29	$80.84	$261.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $53.83 / $131.81	Professional	26	$38.70	$53.83	$131.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $29.22 / $64.20	Professional	TC	$21.53	$29.22	$64.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.13 / $96.89 / $199.79	Facility	26	$43.13	$96.89	$199.79
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $114.02 / $622.15	Professional		$66.34	$114.02	$622.15
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $62.53 / $262.07	Professional	26	$39.04	$62.53	$262.07
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $31.72 / $55.36 / $264.17	Professional	TC	$31.72	$55.36	$264.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $155.30 / $210.38	Professional		$94.70	$155.30	$210.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $72.29 / $100.93	Professional	26	$46.39	$72.29	$100.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $48.31 / $83.14 / $149.76	Professional	TC	$48.31	$83.14	$149.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.26 / $46.26 / $46.26	Facility	26	$46.26	$46.26	$46.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $138.13 / $292.47	Professional		$84.24	$138.13	$292.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $74.95 / $141.26	Professional	26	$45.08	$74.95	$141.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.53 / $60.34 / $128.99	Professional	TC	$31.53	$60.34	$128.99
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $52.41 / $113.11	Professional		$25.16	$52.41	$113.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $159.69 / $242.29	Professional		$72.20	$159.69	$242.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.34 / $89.48 / $129.60	Professional	26	$46.34	$89.48	$129.60
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.69 / $84.30 / $122.10	Professional	TC	$46.69	$84.30	$122.10
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $79.63 / $118.30	Professional		$54.81	$79.63	$118.30
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $199.79 / $199.79	Facility	26	$95.51	$199.79	$199.79
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $120.88 / $622.15	Professional		$78.31	$120.88	$622.15
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $45.47 / $70.84 / $262.07	Professional	26	$45.47	$70.84	$262.07
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $31.04 / $59.33 / $264.17	Professional	TC	$31.04	$59.33	$264.17
United Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $104.02 / $233.07	Professional		$74.98	$104.02	$233.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $59.05 / $119.07	Professional	26	$44.03	$59.05	$119.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.44 / $46.69 / $120.34	Professional	TC	$30.44	$46.69	$120.34