Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.57 / $56.81 / $86.26	Facility	26	$31.57	$56.81	$86.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $231.22 / $703.89	Professional		$110.31	$231.22	$703.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $52.15 / $167.57	Professional	26	$31.57	$52.15	$167.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $55.16 / $80.43 / $126.60	Professional	52	$55.16	$80.43	$126.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $78.75 / $171.24 / $308.42	Professional	TC	$78.75	$171.24	$308.42
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $95.19 / $295.27 / $371.60	Facility	26	$95.19	$295.27	$371.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $269.56 / $1,413.47	Professional		$137.02	$269.56	$1,413.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.25 / $66.05 / $333.52	Professional	26	$41.25	$66.05	$333.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $96.68 / $208.73 / $1,220.00	Professional	TC	$96.68	$208.73	$1,220.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.75 / $358.57 / $639.32	Professional		$279.75	$358.57	$639.32
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.96 / $77.36 / $100.69	Professional	26	$58.96	$77.36	$100.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $288.39 / $536.99	Professional		$152.10	$288.39	$536.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.98 / $68.98 / $125.51	Professional	26	$42.98	$68.98	$125.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.07 / $210.54 / $430.17	Professional	TC	$109.07	$210.54	$430.17
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $136.32 / $244.59	Professional		$51.96	$136.32	$244.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $316.67 / $417.74	Professional		$159.74	$316.67	$417.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.56 / $99.81 / $129.60	Professional	26	$49.56	$99.81	$129.60
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $110.18 / $218.42 / $288.13	Professional	TC	$110.18	$218.42	$288.13
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $104.45 / $304.41	Professional		$58.44	$104.45	$304.41
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $295.27 / $371.60 / $371.60	Facility	26	$295.27	$371.60	$371.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $149.03 / $292.50 / $1,413.47	Professional		$149.03	$292.50	$1,413.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $70.45 / $333.52	Professional	26	$44.03	$70.45	$333.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $100.88 / $218.14 / $1,220.00	Professional	TC	$100.88	$218.14	$1,220.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $137.47 / $264.95	Professional		$85.92	$137.47	$264.95
United Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $223.72 / $402.54	Professional		$141.47	$223.72	$402.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $56.89 / $129.60	Professional	26	$44.03	$56.89	$129.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $151.91 / $340.68	Professional	TC	$97.44	$151.91	$340.68