Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $93.33 / $213.80	Facility	26	$51.29	$93.33	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $794.33	Professional		$181.97	$302.00	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $112.20 / $251.19	Professional	26	$52.48	$112.20	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $213.80 / $489.78	Professional	TC	$125.89	$213.80	$489.78
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $489.78 / $489.78	Facility	26	$125.89	$489.78	$489.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $1,949.84	Professional		$177.83	$316.23	$1,949.84
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $77.62 / $562.34	Professional	26	$48.98	$77.62	$562.34
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $251.19 / $1,548.82	Professional	TC	$141.25	$251.19	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,174.90	Professional		$630.96	$630.96	$1,174.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $104.71 / $138.04	Professional	26	$60.26	$104.71	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $741.31	Professional		$194.98	$371.54	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $85.11 / $165.96	Professional	26	$50.12	$85.11	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $281.84 / $575.44	Professional	TC	$154.88	$281.84	$575.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $199.53 / $416.87	Professional		$70.79	$199.53	$416.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $562.34	Professional		$213.80	$316.23	$562.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $81.28 / $147.91	Professional	26	$57.54	$81.28	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $218.78 / $389.05	Professional	TC	$151.36	$218.78	$389.05
Health New England Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $100.00	Professional		$75.86	$85.11	$100.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $489.78 / $489.78	Facility	26	$125.89	$489.78	$489.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $1,949.84	Professional		$177.83	$323.59	$1,949.84
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $77.62 / $562.34	Professional	26	$51.29	$77.62	$562.34
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $251.19 / $1,548.82	Professional	TC	$134.90	$251.19	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $602.56	Professional		$218.78	$316.23	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $75.86 / $158.49	Professional	26	$56.23	$75.86	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $239.88 / $467.74	Professional	TC	$158.49	$239.88	$467.74