Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.54 / $5.55 / $45.68	Facility	26	$5.54	$5.55	$45.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.48 / $8.21 / $85.00	Professional	26	$5.48	$8.21	$85.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.18 / $22.57 / $115.01	Professional	TC	$18.18	$22.57	$115.01
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 $92.24 / $188.79 / $393.12	Professional	TC	$92.24	$188.79	$393.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.93 / $45.11 / $71.37	Professional	26	$27.93	$45.11	$71.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.04 / $166.34 / $300.82	Professional	TC	$97.04	$166.34	$300.82
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 $86.42 / $157.65 / $274.57	Professional	TC	$86.42	$157.65	$274.57
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.96 / $53.64 / $78.19	Professional	26	$27.96	$53.64	$78.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.70 / $169.35 / $245.30	Professional	TC	$87.70	$169.35	$245.30
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 $117.65 / $364.25 / $393.12	Professional	TC	$117.65	$364.25	$393.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.83 / $47.16 / $95.03	Professional	26	$31.83	$47.16	$95.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.80 / $181.22 / $334.58	Professional	TC	$93.80	$181.22	$334.58