Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.36 / $115.36 / $115.36	Facility	26	$115.36	$115.36	$115.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $342.31 / $407.65 / $611.38	Professional	TC	$342.31	$407.65	$611.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $258.35 / $286.74 / $578.12	Facility	26	$258.35	$286.74	$578.12
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $412.50 / $792.21 / $2,779.03	Professional	TC	$412.50	$792.21	$2,779.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $442.17 / $811.54 / $1,420.70	Professional	TC	$442.17	$811.54	$1,420.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $534.94 / $1,014.78 / $1,346.44	Professional	TC	$534.94	$1,014.78	$1,346.44
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $269.57 / $269.57 / $578.12	Facility	26	$269.57	$269.57	$578.12
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $440.31 / $801.37 / $2,779.03	Professional	TC	$440.31	$801.37	$2,779.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $438.70 / $705.38 / $1,398.92	Professional	TC	$438.70	$705.38	$1,398.92