Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $42.66 / $42.66	Facility	26	$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $186.21	Professional		$75.86	$87.10	$186.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $44.67 / $125.89	Professional	26	$38.90	$44.67	$125.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $42.66 / $100.00	Professional	TC	$33.11	$42.66	$100.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $109.65 / $281.84	Facility	26	$97.72	$109.65	$281.84
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $562.34	Professional		$67.61	$123.03	$562.34
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $70.79 / $316.23	Professional	26	$39.81	$70.79	$316.23
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $67.61 / $316.23	Professional	TC	$34.67	$67.61	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $257.04	Professional		$104.71	$169.82	$257.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $85.11 / $123.03	Professional	26	$50.12	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $281.84	Professional		$75.86	$147.91	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $72.44 / $141.25	Professional	26	$45.71	$72.44	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $74.13 / $141.25	Professional	TC	$28.84	$74.13	$141.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $63.10 / $134.90	Professional		$30.20	$63.10	$134.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $257.04	Professional		$61.66	$134.90	$257.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $79.43 / $123.03	Professional	26	$45.71	$79.43	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $89.13 / $131.83	Professional	TC	$56.23	$89.13	$131.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $109.65 / $281.84	Facility	26	$97.72	$109.65	$281.84
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $562.34	Professional		$67.61	$125.89	$562.34
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $70.79 / $316.23	Professional	26	$39.81	$70.79	$316.23
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $67.61 / $316.23	Professional	TC	$34.67	$67.61	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $281.84	Professional		$75.86	$134.90	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $72.44 / $131.83	Professional	26	$46.77	$72.44	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $67.61 / $138.04	Professional	TC	$36.31	$67.61	$138.04