Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.57 / $39.63 / $117.86	Facility	26	$31.57	$39.63	$117.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $180.79 / $558.00	Professional		$90.81	$180.79	$558.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $41.69 / $137.06	Professional	26	$31.57	$41.69	$137.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.24 / $135.43 / $255.62	Professional	TC	$59.24	$135.43	$255.62
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $94.37 / $292.88 / $368.56	Facility	26	$94.37	$292.88	$368.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $242.16 / $1,305.85	Professional		$113.36	$242.16	$1,305.85
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.34 / $61.14 / $315.37	Professional	26	$38.34	$61.14	$315.37
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $73.02 / $168.29 / $1,108.00	Professional	TC	$73.02	$168.29	$1,108.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $289.69 / $497.40	Professional		$213.11	$289.69	$497.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.86 / $75.44 / $101.88	Professional	26	$45.86	$75.44	$101.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $236.79 / $410.37	Professional		$125.01	$236.79	$410.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.19 / $59.73 / $122.71	Professional	26	$40.19	$59.73	$122.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $82.38 / $162.69 / $329.91	Professional	TC	$82.38	$162.69	$329.91
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $107.03 / $203.32	Professional		$51.52	$107.03	$203.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $263.89 / $348.12	Professional		$133.12	$263.89	$348.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $97.44 / $128.53	Professional	26	$49.15	$97.44	$128.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.97 / $166.46 / $219.59	Professional	TC	$83.97	$166.46	$219.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $88.80 / $251.59	Professional		$60.24	$88.80	$251.59
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $292.88 / $368.56 / $368.56	Facility	26	$292.88	$368.56	$368.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $250.00 / $1,305.85	Professional		$123.30	$250.00	$1,305.85
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $40.44 / $64.61 / $315.37	Professional	26	$40.44	$64.61	$315.37
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $76.20 / $181.03 / $1,108.00	Professional	TC	$76.20	$181.03	$1,108.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $140.00 / $214.39	Professional		$75.81	$140.00	$214.39
United Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $227.24 / $356.54	Professional		$117.29	$227.24	$356.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $56.38 / $141.41	Professional	26	$38.72	$56.38	$141.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $114.59 / $256.04	Professional	TC	$73.62	$114.59	$256.04