Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	26	$55.05	$55.05	$55.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.98 / $384.49 / $712.65	Professional		$287.98	$384.49	$712.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $242.33 / $328.81 / $561.72	Professional	TC	$242.33	$328.81	$561.72
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $124.50 / $136.06 / $347.00	Facility	26	$124.50	$136.06	$347.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $284.18 / $731.25 / $2,673.66	Professional		$284.18	$731.25	$2,673.66
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $288.19 / $681.33 / $2,317.40	Professional	TC	$288.19	$681.33	$2,317.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.92 / $770.82 / $1,362.90	Professional		$360.92	$770.82	$1,362.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $250.31 / $667.75 / $1,170.29	Professional	TC	$250.31	$667.75	$1,170.29
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $288.32 / $669.44	Professional		$41.39	$288.32	$669.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $512.41 / $966.97 / $1,276.21	Professional		$512.41	$966.97	$1,276.21
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $444.42 / $843.06 / $1,118.60	Professional	TC	$444.42	$843.06	$1,118.60
Health New England Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $176.10 / $176.10	Professional		$176.10	$176.10	$176.10
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $128.97 / $128.97 / $347.00	Facility	26	$128.97	$128.97	$347.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $286.82 / $774.25 / $2,673.66	Professional		$286.82	$774.25	$2,673.66
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $259.58 / $738.69 / $2,317.40	Professional	TC	$259.58	$738.69	$2,317.40
United Facility/Professional Professional Modifier Low / Median / High Price $272.17 / $552.65 / $1,398.95	Professional		$272.17	$552.65	$1,398.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $225.93 / $486.13 / $1,009.76	Professional	TC	$225.93	$486.13	$1,009.76