Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.52 / $43.52 / $43.52	Facility	26	$43.52	$43.52	$43.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $86.84 / $119.71	Professional		$75.52	$86.84	$119.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.81 / $44.16 / $62.35	Professional	26	$38.81	$44.16	$62.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.78 / $41.90 / $57.36	Professional	TC	$33.78	$41.90	$57.36
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $97.76 / $106.83 / $215.13	Facility	26	$97.76	$106.83	$215.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $149.62 / $567.30	Professional		$69.84	$149.62	$567.30
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.33 / $85.61 / $318.67	Professional	26	$44.33	$85.61	$318.67
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.75 / $83.15 / $318.67	Professional	TC	$34.75	$83.15	$318.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $168.96 / $244.60	Professional		$104.62	$168.96	$244.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $55.23 / $82.15 / $110.94	Professional	26	$55.23	$82.15	$110.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $162.53 / $284.26	Professional		$87.13	$162.53	$284.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.92 / $84.56 / $148.83	Professional	26	$47.92	$84.56	$148.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.79 / $83.00 / $142.28	Professional	TC	$36.79	$83.00	$142.28
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $58.05 / $123.99	Professional		$28.22	$58.05	$123.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $200.73 / $276.99	Professional		$106.09	$200.73	$276.99
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.25 / $104.26 / $134.03	Professional	26	$53.25	$104.26	$134.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $52.84 / $100.24 / $133.41	Professional	TC	$52.84	$100.24	$133.41
Health New England Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $132.62 / $132.62	Professional		$132.62	$132.62	$132.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $102.35 / $102.35 / $215.13	Facility	26	$102.35	$102.35	$215.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $167.73 / $567.30	Professional		$77.09	$167.73	$567.30
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $48.48 / $91.17 / $318.67	Professional	26	$48.48	$91.17	$318.67
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $36.88 / $88.92 / $318.67	Professional	TC	$36.88	$88.92	$318.67
United Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $119.08 / $257.97	Professional		$72.76	$119.08	$257.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.56 / $67.87 / $158.68	Professional	26	$46.56	$67.87	$158.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.34 / $60.41 / $131.50	Professional	TC	$26.34	$60.41	$131.50