Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.47 / $47.48 / $176.89	Facility	26	$47.47	$47.48	$176.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.15 / $232.78 / $505.28	Professional		$145.15	$232.78	$505.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.70 / $187.78	Professional	26	$51.30	$64.70	$187.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.52 / $169.99 / $241.67	Professional	TC	$89.52	$169.99	$241.67
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $142.97 / $441.84 / $555.91	Facility	26	$142.97	$441.84	$555.91
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.24 / $296.68 / $1,417.13	Professional		$160.24	$296.68	$1,417.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $57.67 / $91.96 / $384.88	Professional	26	$57.67	$91.96	$384.88
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $99.17 / $213.52 / $1,332.00	Professional	TC	$99.17	$213.52	$1,332.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $113.80 / $153.68	Professional	26	$69.18	$113.80	$153.68
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $236.59 / $236.59 / $483.52	Professional	TC	$236.59	$236.59	$483.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.65 / $307.11 / $528.83	Professional		$174.65	$307.11	$528.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.63 / $90.80 / $184.57	Professional	26	$60.63	$90.80	$184.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $115.38 / $215.87 / $407.89	Professional	TC	$115.38	$215.87	$407.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $148.82 / $285.68	Professional		$77.70	$148.82	$285.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $159.11 / $369.51 / $489.52	Professional		$159.11	$369.51	$489.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.14 / $148.28 / $193.88	Professional	26	$74.14	$148.28	$193.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $113.05 / $225.47 / $295.64	Professional	TC	$113.05	$225.47	$295.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $96.71 / $183.05	Professional		$90.50	$96.71	$183.05
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $441.84 / $555.91 / $555.91	Facility	26	$441.84	$555.91	$555.91
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $304.04 / $1,417.13	Professional		$175.61	$304.04	$1,417.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $61.08 / $98.00 / $384.88	Professional	26	$61.08	$98.00	$384.88
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $105.01 / $223.72 / $1,332.00	Professional	TC	$105.01	$223.72	$1,332.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $245.53 / $454.19	Professional		$166.59	$245.53	$454.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.66 / $81.40 / $161.00	Professional	26	$58.66	$81.40	$161.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $149.08 / $320.51	Professional	TC	$101.41	$149.08	$320.51