Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.51 / $9.51 / $42.25	Facility	26	$9.51	$9.51	$42.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.47 / $45.68	Professional	26	$9.16	$10.47	$45.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.15 / $15.86 / $53.72	Professional	TC	$14.15	$15.86	$53.72
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $26.20 / $62.58 / $120.22	Facility	26	$26.20	$62.58	$120.22
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $53.62 / $145.16	Professional	26	$26.20	$53.62	$145.16
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $42.93 / $87.86 / $183.70	Professional	TC	$42.93	$87.86	$183.70
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $42.73 / $86.58	Professional	26	$27.93	$42.73	$86.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.33 / $77.70 / $140.52	Professional	TC	$45.33	$77.70	$140.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.15 / $28.15 / $28.15	Facility	26	$28.15	$28.15	$28.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.88 / $45.37 / $78.95	Professional	26	$26.88	$45.37	$78.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.36 / $73.65 / $127.81	Professional	TC	$40.36	$73.65	$127.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.04 / $53.98 / $78.19	Professional	26	$26.04	$53.98	$78.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.98 / $78.09 / $114.62	Professional	TC	$40.98	$78.09	$114.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $57.75 / $120.22 / $120.22	Facility	26	$57.75	$120.22	$120.22
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $34.06 / $103.46 / $145.16	Professional	26	$34.06	$103.46	$145.16
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $54.77 / $169.53 / $183.70	Professional	TC	$54.77	$169.53	$183.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $50.92 / $95.03	Professional	26	$31.83	$50.92	$95.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.83 / $64.70 / $155.72	Professional	TC	$43.83	$64.70	$155.72