Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.93 / $46.93 / $174.88	Facility	26	$46.93	$46.93	$174.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $306.97 / $433.32	Professional		$161.47	$306.97	$433.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.93 / $64.29 / $92.60	Professional	26	$46.93	$64.29	$92.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.55 / $214.37 / $359.11	Professional	TC	$114.55	$214.37	$359.11
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.36 / $434.48 / $546.72	Facility	26	$141.36	$434.48	$546.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $197.60 / $394.04 / $2,075.08	Professional		$197.60	$394.04	$2,075.08
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $94.47 / $460.66	Professional	26	$60.39	$94.47	$460.66
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $138.71 / $304.95 / $1,726.78	Professional	TC	$138.71	$304.95	$1,726.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.97 / $111.81 / $151.00	Professional	26	$67.97	$111.81	$151.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $327.38 / $327.38 / $672.27	Professional	TC	$327.38	$327.38	$672.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $417.17 / $792.02	Professional		$218.46	$417.17	$792.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.47 / $93.50 / $183.56	Professional	26	$61.47	$93.50	$183.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.80 / $305.80 / $658.55	Professional	TC	$154.80	$305.80	$658.55
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $193.49 / $350.95	Professional		$76.40	$193.49	$350.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.38 / $461.97 / $599.85	Professional		$229.38	$461.97	$599.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.91 / $145.41 / $190.67	Professional	26	$72.91	$145.41	$190.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $156.47 / $315.13 / $409.18	Professional	TC	$156.47	$315.13	$409.18
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 $217.36 / $419.34 / $2,075.08	Professional		$217.36	$419.34	$2,075.08
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $62.25 / $97.44 / $460.66	Professional	26	$62.25	$97.44	$460.66
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $146.88 / $309.58 / $1,726.78	Professional	TC	$146.88	$309.58	$1,726.78
United Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $323.35 / $617.22	Professional		$206.79	$323.35	$617.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.60 / $83.98 / $183.51	Professional	26	$61.60	$83.98	$183.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.83 / $265.41 / $521.90	Professional	TC	$141.83	$265.41	$521.90