Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $112.20 / $239.88	Facility	26	$45.71	$112.20	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $1,174.90	Professional		$169.82	$288.40	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $77.62 / $186.21	Professional	26	$52.48	$77.62	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $181.97 / $512.86	Professional	TC	$120.23	$181.97	$512.86
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $2,089.30	Professional		$173.78	$331.13	$2,089.30
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $457.09	Professional	26	$54.95	$83.18	$457.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $263.03 / $1,737.80	Professional	TC	$131.83	$263.03	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,230.27	Professional		$645.65	$645.65	$1,230.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $114.82 / $154.88	Professional	26	$67.61	$114.82	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $398.11 / $616.60	Professional		$162.18	$398.11	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $91.20 / $177.83	Professional	26	$51.29	$91.20	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $295.12 / $524.81	Professional	TC	$128.82	$295.12	$524.81
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $426.58	Professional		$79.43	$199.53	$426.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $575.44	Professional		$208.93	$316.23	$575.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $165.96	Professional	26	$63.10	$91.20	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $208.93 / $380.19	Professional	TC	$138.04	$208.93	$380.19
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $2,089.30	Professional		$173.78	$331.13	$2,089.30
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $83.18 / $457.09	Professional	26	$54.95	$83.18	$457.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $263.03 / $1,737.80	Professional	TC	$131.83	$263.03	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $630.96	Professional		$208.93	$331.13	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $177.83	Professional	26	$61.66	$83.18	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $229.09 / $478.63	Professional	TC	$141.25	$229.09	$478.63