Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $157.69 / $198.66	Professional		$127.04	$157.69	$198.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.16 / $131.38 / $161.46	Professional	TC	$103.16	$131.38	$161.46
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $59.04 / $64.52 / $132.62	Facility	26	$59.04	$64.52	$132.62
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $273.93 / $964.87	Professional		$89.91	$273.93	$964.87
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $107.55 / $270.26 / $798.40	Professional	TC	$107.55	$270.26	$798.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $256.83 / $464.61	Professional		$93.76	$256.83	$464.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.47 / $263.67 / $467.95	Professional	TC	$93.47	$263.67	$467.95
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $120.92 / $279.42	Professional		$19.92	$120.92	$279.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $424.26 / $549.92	Professional		$216.68	$424.26	$549.92
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $183.91 / $348.88 / $468.42	Professional	TC	$183.91	$348.88	$468.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $75.61 / $79.39	Professional		$75.61	$75.61	$79.39
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $62.61 / $62.61 / $132.62	Facility	26	$62.61	$62.61	$132.62
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $278.93 / $964.87	Professional		$96.15	$278.93	$964.87
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $101.47 / $270.68 / $798.40	Professional	TC	$101.47	$270.68	$798.40
United Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $216.68 / $498.06	Professional		$85.64	$216.68	$498.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.45 / $207.65 / $458.05	Professional	TC	$72.45	$207.65	$458.05