Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $43.65 / $87.10	Facility	26	$42.66	$43.65	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $213.80	Professional		$63.10	$85.11	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $48.98 / $123.03	Professional	26	$33.88	$48.98	$123.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $36.31 / $79.43	Professional	TC	$19.95	$36.31	$79.43
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $85.11 / $229.09	Facility	26	$28.18	$85.11	$229.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $562.34	Professional		$58.88	$102.33	$562.34
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $53.70 / $234.42	Professional	26	$33.88	$53.70	$234.42
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $47.86 / $245.47	Professional	TC	$29.51	$47.86	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $501.19	Professional		$85.11	$158.49	$501.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $61.66 / $190.55	Professional	26	$40.74	$61.66	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $263.03	Professional		$74.13	$117.49	$263.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $66.07 / $123.03	Professional	26	$39.81	$66.07	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $51.29 / $120.23	Professional	TC	$29.51	$51.29	$120.23
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $48.98 / $107.15	Professional		$23.44	$48.98	$107.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $190.55	Professional		$72.44	$107.15	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $58.88 / $93.33	Professional	26	$36.31	$58.88	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $56.23 / $95.50	Professional	TC	$36.31	$56.23	$95.50
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $85.11 / $229.09	Facility	26	$28.18	$85.11	$229.09
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $562.34	Professional		$60.26	$102.33	$562.34
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $54.95 / $234.42	Professional	26	$33.88	$54.95	$234.42
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $47.86 / $245.47	Professional	TC	$29.51	$47.86	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $213.80	Professional		$69.18	$104.71	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $58.88 / $107.15	Professional	26	$38.90	$58.88	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $44.67 / $109.65	Professional	TC	$27.54	$44.67	$109.65