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 / $245.47	Facility	26	$46.77	$83.18	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $1,000.00	Professional		$162.18	$275.42	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $107.15 / $229.09	Professional	26	$57.54	$107.15	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $169.82 / $426.58	Professional	TC	$97.72	$169.82	$426.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $562.34 / $562.34	Facility	26	$144.54	$562.34	$562.34
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $1,659.59	Professional		$147.91	$281.84	$1,659.59
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $524.81	Professional	26	$52.48	$85.11	$524.81
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $204.17 / $1,318.26	Professional	TC	$109.65	$204.17	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $660.69	Professional		$251.19	$426.58	$660.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $158.49	Professional	26	$69.18	$117.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $630.96	Professional		$165.96	$316.23	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $181.97	Professional	26	$52.48	$87.10	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $234.42 / $478.63	Professional	TC	$120.23	$234.42	$478.63
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $354.81	Professional		$79.43	$165.96	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $446.68	Professional		$173.78	$263.03	$446.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $165.96	Professional	26	$61.66	$91.20	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $165.96 / $302.00	Professional	TC	$109.65	$165.96	$302.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $489.78	Professional		$89.13	$109.65	$489.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $562.34 / $562.34	Facility	26	$144.54	$562.34	$562.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $1,659.59	Professional		$147.91	$281.84	$1,659.59
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $85.11 / $524.81	Professional	26	$53.70	$85.11	$524.81
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $204.17 / $1,318.26	Professional	TC	$109.65	$204.17	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $512.86	Professional		$190.55	$281.84	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $181.97	Professional	26	$58.88	$85.11	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $199.53 / $380.19	Professional	TC	$123.03	$199.53	$380.19