Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.90 / $52.53 / $155.63	Facility	26	$41.90	$52.53	$155.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $232.72 / $370.52	Professional		$127.06	$232.72	$370.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.91 / $56.89 / $169.45	Professional	26	$41.91	$56.89	$169.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.15 / $183.84 / $249.61	Professional	TC	$85.15	$183.84	$249.61
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $125.69 / $388.00 / $488.64	Facility	26	$125.69	$388.00	$488.64
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $309.92 / $1,593.45	Professional		$158.78	$309.92	$1,593.45
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $50.80 / $80.84 / $363.24	Professional	26	$50.80	$80.84	$363.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $105.53 / $233.39 / $1,301.23	Professional	TC	$105.53	$233.39	$1,301.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.77 / $99.97 / $135.00	Professional	26	$60.77	$99.97	$135.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $250.07 / $301.70 / $509.06	Professional	TC	$250.07	$301.70	$509.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $327.39 / $533.64	Professional		$175.16	$327.39	$533.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.28 / $79.91 / $164.32	Professional	26	$53.28	$79.91	$164.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $118.24 / $227.84 / $426.99	Professional	TC	$118.24	$227.84	$426.99
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $150.84 / $282.89	Professional		$68.29	$150.84	$282.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $185.14 / $372.87 / $484.16	Professional		$185.14	$372.87	$484.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $65.13 / $129.90 / $170.32	Professional	26	$65.13	$129.90	$170.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $120.01 / $237.91 / $313.83	Professional	TC	$120.01	$237.91	$313.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $90.06 / $152.99	Professional		$77.43	$90.06	$152.99
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $388.00 / $488.64 / $488.64	Facility	26	$388.00	$488.64	$488.64
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $320.51 / $1,593.45	Professional		$174.34	$320.51	$1,593.45
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $53.97 / $86.14 / $363.24	Professional	26	$53.97	$86.14	$363.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $111.74 / $236.48 / $1,301.23	Professional	TC	$111.74	$236.48	$1,301.23
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $255.05 / $461.11	Professional		$165.65	$255.05	$461.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.13 / $73.52 / $143.13	Professional	26	$51.13	$73.52	$143.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.91 / $164.00 / $404.14	Professional	TC	$107.91	$164.00	$404.14