Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	26	$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $512.86	Professional		$66.07	$112.20	$512.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.90 / $223.87	Professional	26	$30.90	$38.90	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $67.61 / $141.25	Professional	TC	$33.88	$67.61	$141.25
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $83.18 / $213.80	Facility	26	$75.86	$83.18	$213.80
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $691.83	Professional		$60.26	$141.25	$691.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $53.70 / $223.87	Professional	26	$31.62	$53.70	$223.87
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $100.00 / $467.74	Professional	TC	$32.36	$100.00	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $309.03	Professional		$125.89	$213.80	$309.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $66.07 / $89.13	Professional	26	$38.90	$66.07	$89.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $147.91 / $213.80	Professional	TC	$87.10	$147.91	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $331.13	Professional		$61.66	$158.49	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $109.65	Professional	26	$34.67	$56.23	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $100.00 / $229.09	Professional	TC	$30.20	$100.00	$229.09
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $70.79 / $162.18	Professional		$27.54	$70.79	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $309.03	Professional		$109.65	$190.55	$309.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $58.88 / $95.50	Professional	26	$34.67	$58.88	$95.50
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $123.03 / $204.17	Professional	TC	$74.13	$123.03	$204.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $83.18 / $213.80	Facility	26	$75.86	$83.18	$213.80
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $691.83	Professional		$60.26	$141.25	$691.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $54.95 / $223.87	Professional	26	$31.62	$54.95	$223.87
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $100.00 / $467.74	Professional	TC	$32.36	$100.00	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $323.59	Professional		$61.66	$141.25	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $54.95 / $102.33	Professional	26	$35.48	$54.95	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $100.00 / $218.78	Professional	TC	$30.90	$100.00	$218.78