Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $83.18 / $239.88	Facility	26	$46.77	$83.18	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $1,096.48	Professional		$169.82	$288.40	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $100.00 / $263.03	Professional	26	$54.95	$100.00	$263.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $181.97 / $436.52	Professional	TC	$112.20	$181.97	$436.52
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,949.84	Professional		$162.18	$316.23	$1,949.84
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $436.52	Professional	26	$52.48	$83.18	$436.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $239.88 / $1,621.81	Professional	TC	$120.23	$239.88	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $724.44	Professional		$275.42	$478.63	$724.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $154.88	Professional	26	$67.61	$117.49	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $354.81 / $575.44	Professional		$154.88	$354.81	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $87.10 / $177.83	Professional	26	$51.29	$87.10	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $263.03 / $398.11	Professional	TC	$117.49	$263.03	$398.11
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $389.05	Professional		$79.43	$186.21	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $501.19	Professional		$138.04	$245.47	$501.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $158.49	Professional	26	$60.26	$89.13	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $223.87 / $363.08	Professional	TC	$138.04	$223.87	$363.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $114.82	Professional		$85.11	$104.71	$114.82
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,949.84	Professional		$162.18	$316.23	$1,949.84
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $83.18 / $436.52	Professional	26	$53.70	$83.18	$436.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $239.88 / $1,621.81	Professional	TC	$120.23	$239.88	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $549.54	Professional		$194.98	$316.23	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $177.83	Professional	26	$58.88	$83.18	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $208.93 / $407.38	Professional	TC	$128.82	$208.93	$407.38