Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.50 / $17.50 / $32.54	Facility	26	$17.50	$17.50	$32.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $79.84 / $298.58	Professional		$55.50	$79.84	$298.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.50 / $28.75 / $79.00	Professional	26	$17.50	$28.75	$79.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.22 / $48.18 / $94.20	Professional	TC	$34.22	$48.18	$94.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.97 / $43.04 / $128.36	Facility	26	$40.97	$43.04	$128.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $119.76 / $624.04	Professional		$54.50	$119.76	$624.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $18.66 / $37.64 / $456.30	Professional	26	$18.66	$37.64	$456.30
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $86.92 / $400.36	Professional	TC	$36.09	$86.92	$400.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $110.84 / $171.30	Professional		$80.50	$110.84	$171.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $23.69 / $32.61 / $61.66	Professional	26	$23.69	$32.61	$61.66
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $39.31 / $52.79 / $57.22	Professional	TC	$39.31	$52.79	$57.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.45 / $22.45 / $22.45	Facility	26	$22.45	$22.45	$22.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $110.15 / $174.83	Professional		$58.33	$110.15	$174.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.23 / $33.93 / $56.24	Professional	26	$20.23	$33.93	$56.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $40.14 / $75.11 / $125.74	Professional	TC	$40.14	$75.11	$125.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $33.00 / $77.42	Professional		$12.69	$33.00	$77.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $115.20 / $155.93	Professional		$52.22	$115.20	$155.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $42.05 / $55.70	Professional	26	$21.30	$42.05	$55.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $40.14 / $79.23 / $104.97	Professional	TC	$40.14	$79.23	$104.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $36.79 / $54.18	Professional		$27.94	$36.79	$54.18
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $41.47 / $128.36 / $128.36	Facility	26	$41.47	$128.36	$128.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $131.77 / $624.04	Professional		$66.29	$131.77	$624.04
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.21 / $41.77 / $456.30	Professional	26	$20.21	$41.77	$456.30
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $42.88 / $96.16 / $400.36	Professional	TC	$42.88	$96.16	$400.36
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $113.48 / $201.32	Professional		$61.44	$113.48	$201.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.80 / $30.06 / $67.84	Professional	26	$18.80	$30.06	$67.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.77 / $74.59 / $154.52	Professional	TC	$41.77	$74.59	$154.52