Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.22 / $59.11 / $175.95	Facility	26	$47.22	$59.11	$175.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $288.02 / $520.79	Professional		$150.71	$288.02	$520.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.09 / $61.24 / $186.93	Professional	26	$50.09	$61.24	$186.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $103.49 / $201.68 / $297.39	Professional	TC	$103.49	$201.68	$297.39
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.36 / $436.88 / $549.76	Facility	26	$141.36	$436.88	$549.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $366.47 / $1,954.49	Professional		$185.94	$366.47	$1,954.49
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $57.35 / $90.94 / $435.88	Professional	26	$57.35	$90.94	$435.88
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $126.35 / $282.50 / $1,624.23	Professional	TC	$126.35	$282.50	$1,624.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.39 / $114.32 / $151.93	Professional	26	$68.39	$114.32	$151.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $298.72 / $298.72 / $612.61	Professional	TC	$298.72	$298.72	$612.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $389.67 / $637.01	Professional		$205.31	$389.67	$637.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.95 / $90.31 / $183.56	Professional	26	$59.95	$90.31	$183.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $273.48 / $494.31	Professional	TC	$141.25	$273.48	$494.31
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $179.70 / $330.61	Professional		$76.84	$179.70	$330.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $428.73 / $565.57	Professional		$216.27	$428.73	$565.57
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.31 / $147.66 / $191.74	Professional	26	$73.31	$147.66	$191.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $285.10 / $373.83	Professional	TC	$142.94	$285.10	$373.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $94.72 / $172.56	Professional		$84.81	$94.72	$172.56
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $436.88 / $549.76 / $549.76	Facility	26	$436.88	$549.76	$549.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $386.49 / $1,954.49	Professional		$204.43	$386.49	$1,954.49
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $60.74 / $96.89 / $435.88	Professional	26	$60.74	$96.89	$435.88
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $133.80 / $291.22 / $1,624.23	Professional	TC	$133.80	$291.22	$1,624.23
United Facility/Professional Professional Modifier Low / Median / High Price $194.16 / $294.33 / $551.36	Professional		$194.16	$294.33	$551.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.35 / $83.98 / $149.32	Professional	26	$57.35	$83.98	$149.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.82 / $193.80 / $421.63	Professional	TC	$127.82	$193.80	$421.63