Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.10 / $33.10 / $33.10	Facility	26	$33.10	$33.10	$33.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $96.70 / $180.38	Professional		$63.82	$96.70	$180.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.06 / $35.34 / $179.16	Professional	26	$31.06	$35.34	$179.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.89 / $62.70 / $100.24	Professional	TC	$32.89	$62.70	$100.24
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $75.48 / $82.50 / $167.77	Facility	26	$75.48	$82.50	$167.77
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $180.84 / $687.40	Professional		$63.31	$180.84	$687.40
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.45 / $66.09 / $224.56	Professional	26	$34.45	$66.09	$224.56
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.65 / $121.87 / $472.45	Professional	TC	$32.65	$121.87	$472.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $209.12 / $277.91	Professional		$138.36	$209.12	$277.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.00 / $63.95 / $86.64	Professional	26	$39.00	$63.95	$86.64
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.23 / $141.63 / $191.27	Professional	TC	$95.23	$141.63	$191.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $150.49 / $324.31	Professional		$53.12	$150.49	$324.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.19 / $65.58 / $113.59	Professional	26	$37.19	$65.58	$113.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.10 / $117.30 / $230.75	Professional	TC	$43.10	$117.30	$230.75
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $65.81 / $149.44	Professional		$25.15	$65.81	$149.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $236.21 / $317.39	Professional		$124.52	$236.21	$317.39
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.37 / $78.48 / $104.13	Professional	26	$41.37	$78.48	$104.13
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.15 / $157.57 / $211.03	Professional	TC	$83.15	$157.57	$211.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $54.27 / $319.29	Professional		$51.83	$54.27	$319.29
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $78.13 / $78.13 / $167.77	Facility	26	$78.13	$78.13	$167.77
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $187.80 / $687.40	Professional		$63.81	$187.80	$687.40
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $36.93 / $71.09 / $224.56	Professional	26	$36.93	$71.09	$224.56
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $31.34 / $126.54 / $472.45	Professional	TC	$31.34	$126.54	$472.45
United Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $132.56 / $283.67	Professional		$59.24	$132.56	$283.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $51.30 / $97.78	Professional	26	$35.72	$51.30	$97.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.30 / $99.86 / $218.32	Professional	TC	$22.30	$99.86	$218.32