Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.42 / $43.43 / $80.78	Facility	26	$43.42	$43.43	$80.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $74.00 / $204.60	Professional		$63.84	$74.00	$204.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.28 / $47.68 / $95.54	Professional	26	$36.28	$47.68	$95.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.41 / $28.31 / $59.56	Professional	TC	$20.41	$28.31	$59.56
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $38.06 / $84.94 / $176.34	Facility	26	$38.06	$84.94	$176.34
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $106.73 / $568.04	Professional		$60.56	$106.73	$568.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.42 / $55.19 / $234.92	Professional	26	$35.42	$55.19	$234.92
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.39 / $51.56 / $244.63	Professional	TC	$29.39	$51.56	$244.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $147.11 / $264.99	Professional		$85.48	$147.11	$264.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.57 / $63.22 / $88.27	Professional	26	$40.57	$63.22	$88.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.86 / $40.86 / $40.86	Facility	26	$40.86	$40.86	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $129.71 / $263.55	Professional		$76.18	$129.71	$263.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.94 / $71.13 / $123.80	Professional	26	$39.94	$71.13	$123.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.67 / $56.09 / $119.45	Professional	TC	$29.67	$56.09	$119.45
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $47.18 / $102.09	Professional		$22.62	$47.18	$102.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $90.43 / $192.35	Professional		$43.42	$90.43	$192.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $134.63 / $158.40 / $166.32	Professional	26	$134.63	$158.40	$166.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $138.41 / $162.85 / $170.99	Professional	TC	$138.41	$162.85	$170.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $56.95 / $112.28	Professional		$52.64	$56.95	$112.28
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $83.68 / $176.34 / $176.34	Facility	26	$83.68	$176.34	$176.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $109.91 / $568.04	Professional		$71.95	$109.91	$568.04
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $41.67 / $68.51 / $234.92	Professional	26	$41.67	$68.51	$234.92
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $28.87 / $55.27 / $244.63	Professional	TC	$28.87	$55.27	$244.63
United Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $102.19 / $215.46	Professional		$70.03	$102.19	$215.46
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $52.12 / $103.65	Professional	26	$40.65	$52.12	$103.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.81 / $42.87 / $101.83	Professional	TC	$28.81	$42.87	$101.83