Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.23 / $46.23 / $46.23	Facility	26	$46.23	$46.23	$46.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $100.70 / $140.94	Professional		$88.36	$100.70	$140.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.27 / $53.95 / $74.23	Professional	TC	$45.27	$53.95	$74.23
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.53 / $109.86 / $220.31	Facility	26	$100.53	$109.86	$220.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $167.76 / $646.83	Professional		$77.83	$167.76	$646.83
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $41.11 / $99.08 / $354.71	Professional	TC	$41.11	$99.08	$354.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.06 / $189.96 / $326.26	Professional		$90.06	$189.96	$326.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.61 / $105.67 / $172.68	Professional	TC	$38.61	$105.67	$172.68
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $59.78 / $129.63	Professional		$28.82	$59.78	$129.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $206.68 / $277.70	Professional		$108.95	$206.68	$277.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $54.07 / $102.57 / $137.82	Professional	TC	$54.07	$102.57	$137.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $132.53 / $132.53 / $132.53	Professional		$132.53	$132.53	$132.53
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $106.02 / $106.02 / $220.31	Facility	26	$106.02	$106.02	$220.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $192.59 / $646.83	Professional		$86.16	$192.59	$646.83
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $48.01 / $102.73 / $354.71	Professional	TC	$48.01	$102.73	$354.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $140.01 / $284.30	Professional		$75.78	$140.01	$284.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.39 / $76.91 / $155.75	Professional	TC	$32.39	$76.91	$155.75