Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.71 / $53.71 / $198.95	Facility	26	$53.71	$53.71	$198.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $312.16 / $453.48	Professional		$210.98	$312.16	$453.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.71 / $65.54 / $105.37	Professional	26	$53.71	$65.54	$105.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $150.06 / $210.36 / $368.81	Professional	TC	$150.06	$210.36	$368.81
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $140.51 / $434.48 / $546.72	Facility	26	$140.51	$434.48	$546.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $422.51 / $2,220.23	Professional		$236.30	$422.51	$2,220.23
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.34 / $93.90 / $590.91	Professional	26	$60.34	$93.90	$590.91
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $181.83 / $350.20 / $1,825.48	Professional	TC	$181.83	$350.20	$1,825.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $113.62 / $151.00	Professional	26	$78.84	$113.62	$151.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $396.48 / $523.00 / $811.98	Professional	TC	$396.48	$523.00	$811.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.13 / $476.66 / $877.76	Professional		$251.13	$476.66	$877.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.18 / $97.78 / $187.76	Professional	26	$63.18	$97.78	$187.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $193.75 / $362.50 / $715.84	Professional	TC	$193.75	$362.50	$715.84
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $231.79 / $409.72	Professional		$76.40	$231.79	$409.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $261.73 / $518.85 / $684.45	Professional		$261.73	$518.85	$684.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.91 / $146.84 / $190.67	Professional	26	$72.91	$146.84	$190.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $188.83 / $376.60 / $493.81	Professional	TC	$188.83	$376.60	$493.81
Health New England Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $102.40 / $348.71	Professional		$84.34	$102.40	$348.71
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $546.72 / $546.72	Facility	26	$434.48	$546.72	$546.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $437.73 / $2,220.23	Professional		$254.06	$437.73	$2,220.23
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $63.65 / $96.90 / $590.91	Professional	26	$63.65	$96.90	$590.91
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $188.15 / $356.60 / $1,825.48	Professional	TC	$188.15	$356.60	$1,825.48
United Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $350.42 / $675.24	Professional		$251.54	$350.42	$675.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.92 / $82.16 / $165.78	Professional	26	$60.92	$82.16	$165.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.12 / $269.48 / $564.36	Professional	TC	$185.12	$269.48	$564.36