Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.30 / $18.30 / $18.30	Facility	26	$18.30	$18.30	$18.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $76.86 / $231.70	Professional		$68.06	$76.86	$231.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.82 / $20.21 / $60.90	Professional	26	$17.82	$20.21	$60.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.07 / $56.23 / $79.79	Professional	TC	$48.07	$56.23	$79.79
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.24 / $39.24 / $104.06	Facility	26	$39.24	$39.24	$104.06
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $169.42 / $468.55	Professional		$84.16	$169.42	$468.55
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $27.28 / $126.27	Professional	26	$19.93	$27.28	$126.27
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $60.82 / $131.30 / $342.28	Professional	TC	$60.82	$131.30	$342.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $157.03 / $204.39	Professional		$93.94	$157.03	$204.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $41.09 / $53.25	Professional	26	$32.79	$41.09	$53.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $69.97 / $117.61 / $152.22	Professional	TC	$69.97	$117.61	$152.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $67.55 / $91.94	Professional		$67.55	$67.55	$91.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.45 / $18.45 / $25.22	Professional	26	$18.45	$18.45	$25.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.10 / $49.10 / $66.69	Professional	TC	$49.10	$49.10	$66.69
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $81.98 / $142.62	Professional		$26.72	$81.98	$142.62
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $39.24 / $39.24 / $104.06	Facility	26	$39.24	$39.24	$104.06
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $169.42 / $468.55	Professional		$84.16	$169.42	$468.55
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $27.28 / $126.27	Professional	26	$19.93	$27.28	$126.27
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $60.82 / $131.30 / $342.28	Professional	TC	$60.82	$131.30	$342.28
Tufts Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $101.98 / $118.47	Professional		$64.48	$101.98	$118.47
United Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $160.28 / $226.66	Professional		$82.37	$160.28	$226.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $27.28 / $55.64	Professional	26	$19.93	$27.28	$55.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.28 / $122.28 / $170.34	Professional	TC	$60.28	$122.28	$170.34