Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.90 / $24.90 / $46.31	Facility	26	$24.90	$24.90	$46.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $56.90 / $176.14	Professional		$41.56	$56.90	$176.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.59 / $28.87 / $72.76	Professional	26	$23.59	$28.87	$72.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.96 / $22.41 / $57.69	Professional	TC	$15.96	$22.41	$57.69
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.60 / $59.17 / $122.08	Facility	26	$26.60	$59.17	$122.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $81.31 / $398.18	Professional		$49.45	$81.31	$398.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.53 / $38.56 / $160.04	Professional	26	$24.53	$38.56	$160.04
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.19 / $49.12 / $238.14	Professional	TC	$25.19	$49.12	$238.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $117.35 / $316.42	Professional		$60.83	$117.35	$316.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $46.49 / $62.98	Professional	26	$24.10	$46.49	$62.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.46 / $74.36 / $133.94	Professional	TC	$51.46	$74.36	$133.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.51 / $28.51 / $28.51	Facility	26	$28.51	$28.51	$28.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $102.11 / $217.93	Professional		$58.31	$102.11	$217.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.57 / $45.97 / $87.30	Professional	26	$27.57	$45.97	$87.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.55 / $53.97 / $116.27	Professional	TC	$25.55	$53.97	$116.27
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $38.51 / $83.18	Professional		$17.14	$38.51	$83.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $124.49 / $183.76	Professional		$61.28	$124.49	$183.76
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $54.38 / $79.26	Professional	26	$28.34	$54.38	$79.26
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $39.06 / $74.44 / $109.26	Professional	TC	$39.06	$74.44	$109.26
Health New England Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $42.29 / $88.01	Professional		$42.29	$42.29	$88.01
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $58.37 / $122.08 / $122.08	Facility	26	$58.37	$122.08	$122.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $89.56 / $398.18	Professional		$56.34	$89.56	$398.18
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $28.26 / $43.55 / $160.04	Professional	26	$28.26	$43.55	$160.04
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.60 / $53.24 / $238.14	Professional	TC	$24.60	$53.24	$238.14
United Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $76.36 / $173.50	Professional		$54.56	$76.36	$173.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.07 / $36.19 / $73.87	Professional	26	$27.07	$36.19	$73.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $39.61 / $106.37	Professional	TC	$24.40	$39.61	$106.37