Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.90 / $52.53 / $155.63	Facility	26	$41.90	$52.53	$155.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $272.27 / $514.36	Professional		$132.30	$272.27	$514.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.91 / $65.42 / $195.97	Professional	26	$41.91	$65.42	$195.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.39 / $175.62 / $283.70	Professional	TC	$90.39	$175.62	$283.70
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 $162.93 / $322.38 / $1,708.01	Professional		$162.93	$322.38	$1,708.01
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.62 / $84.00 / $384.71	Professional	26	$53.62	$84.00	$384.71
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $109.41 / $242.94 / $2,023.00	Professional	TC	$109.41	$242.94	$2,023.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.38 / $101.58 / $155.28	Professional	26	$72.38	$101.58	$155.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $260.82 / $386.68 / $531.24	Professional	TC	$260.82	$386.68	$531.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $341.81 / $649.92	Professional		$179.84	$341.81	$649.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.48 / $85.75 / $162.22	Professional	26	$56.48	$85.75	$162.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.32 / $243.99 / $527.25	Professional	TC	$123.32	$243.99	$527.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $158.63 / $289.88	Professional		$68.29	$158.63	$289.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $189.64 / $381.94 / $495.93	Professional		$189.64	$381.94	$495.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $65.13 / $129.11 / $170.32	Professional	26	$65.13	$129.11	$170.32
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $124.52 / $250.78 / $325.63	Professional	TC	$124.52	$250.78	$325.63
Health New England Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $118.58 / $245.23	Professional		$76.95	$118.58	$245.23
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 $178.56 / $345.84 / $1,708.01	Professional		$178.56	$345.84	$1,708.01
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $57.30 / $86.61 / $384.71	Professional	26	$57.30	$86.61	$384.71
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $115.85 / $246.64 / $2,023.00	Professional	TC	$115.85	$246.64	$2,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $266.19 / $516.33	Professional		$169.62	$266.19	$516.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.76 / $74.67 / $148.86	Professional	26	$54.76	$74.67	$148.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $111.88 / $167.82 / $395.56	Professional	TC	$111.88	$167.82	$395.56