Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.04 / $51.05 / $190.26	Facility	26	$51.04	$51.05	$190.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $326.48 / $415.31	Professional		$180.89	$326.48	$415.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $66.05 / $206.50	Professional	26	$51.05	$66.05	$206.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $126.49 / $245.04 / $334.93	Professional	TC	$126.49	$245.04	$334.93
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 $203.71 / $356.72 / $1,940.92	Professional		$203.71	$356.72	$1,940.92
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.14 / $84.40 / $556.79	Professional	26	$54.14	$84.40	$556.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $157.97 / $284.77 / $1,561.11	Professional	TC	$157.97	$284.77	$1,561.11
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 $334.11 / $460.09 / $684.17	Professional	TC	$334.11	$460.09	$684.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.90 / $407.71 / $805.86	Professional		$214.90	$407.71	$805.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.92 / $90.73 / $176.11	Professional	26	$56.92	$90.73	$176.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.25 / $302.39 / $616.38	Professional	TC	$163.25	$302.39	$616.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $196.05 / $346.57	Professional		$68.29	$196.05	$346.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $224.87 / $452.89 / $588.05	Professional		$224.87	$452.89	$588.05
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 $159.74 / $321.72 / $417.74	Professional	TC	$159.74	$321.72	$417.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $86.83 / $165.45	Professional		$77.43	$86.83	$165.45
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 $227.00 / $368.51 / $1,940.92	Professional		$227.00	$368.51	$1,940.92
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $57.74 / $86.61 / $556.79	Professional	26	$57.74	$86.61	$556.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $169.26 / $301.60 / $1,561.11	Professional	TC	$169.26	$301.60	$1,561.11
United Facility/Professional Professional Modifier Low / Median / High Price $223.33 / $316.48 / $597.65	Professional		$223.33	$316.48	$597.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.36 / $74.67 / $158.47	Professional	26	$55.36	$74.67	$158.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.74 / $233.39 / $491.49	Professional	TC	$159.74	$233.39	$491.49