Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.47 / $59.78 / $176.89	Facility	26	$47.47	$59.78	$176.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $232.78 / $372.28	Professional		$145.15	$232.78	$372.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.48 / $64.90 / $194.54	Professional	26	$47.48	$64.90	$194.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $171.36 / $233.08	Professional	TC	$97.67	$171.36	$233.08
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $142.97 / $441.84 / $555.91	Facility	26	$142.97	$441.84	$555.91
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $310.04 / $1,670.68	Professional		$178.54	$310.04	$1,670.68
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $57.67 / $91.45 / $520.49	Professional	26	$57.67	$91.45	$520.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $122.52 / $234.24 / $1,318.41	Professional	TC	$122.52	$234.24	$1,318.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $57.82 / $76.84	Professional		$40.11	$57.82	$76.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.48 / $113.80 / $153.68	Professional	26	$77.48	$113.80	$153.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.12 / $297.38 / $527.83	Professional	TC	$259.12	$297.38	$527.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $353.91 / $679.67	Professional		$187.33	$353.91	$679.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.63 / $90.80 / $184.57	Professional	26	$60.63	$90.80	$184.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.95 / $236.36 / $521.67	Professional	TC	$125.95	$236.36	$521.67
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $158.11 / $302.66	Professional		$77.70	$158.11	$302.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.86 / $371.72 / $518.44	Professional		$128.86	$371.72	$518.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.14 / $146.97 / $193.88	Professional	26	$74.14	$146.97	$193.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $124.11 / $249.96 / $324.56	Professional	TC	$124.11	$249.96	$324.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $147.90 / $486.20	Professional		$88.15	$147.90	$486.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $441.84 / $555.91 / $555.91	Facility	26	$441.84	$555.91	$555.91
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $321.33 / $1,670.68	Professional		$203.55	$321.33	$1,670.68
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $61.20 / $97.98 / $520.49	Professional	26	$61.20	$97.98	$520.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $138.22 / $245.04 / $1,318.41	Professional	TC	$138.22	$245.04	$1,318.41
United Facility/Professional Professional Modifier Low / Median / High Price $197.12 / $273.13 / $485.47	Professional		$197.12	$273.13	$485.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.65 / $84.42 / $173.34	Professional	26	$58.65	$84.42	$173.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $127.09 / $194.36 / $415.80	Professional	TC	$127.09	$194.36	$415.80