Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $100.00 / $239.88	Facility	26	$46.77	$100.00	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $954.99	Professional		$151.36	$257.04	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $107.15 / $223.87	Professional	26	$56.23	$107.15	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $144.54 / $416.87	Professional	TC	$93.33	$144.54	$416.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $562.34 / $562.34	Facility	26	$144.54	$562.34	$562.34
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $1,412.54	Professional		$138.04	$251.19	$1,412.54
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $389.05	Professional	26	$52.48	$85.11	$389.05
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $177.83 / $1,318.26	Professional	TC	$95.50	$177.83	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $676.08	Professional		$234.42	$407.38	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $117.49 / $158.49	Professional	26	$69.18	$117.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $295.12 / $489.78	Professional		$144.54	$295.12	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $87.10 / $181.97	Professional	26	$52.48	$87.10	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $208.93 / $331.13	Professional	TC	$97.72	$208.93	$331.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $331.13	Professional		$79.43	$151.36	$331.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $426.58	Professional		$162.18	$251.19	$426.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $89.13 / $162.18	Professional	26	$61.66	$89.13	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $151.36 / $257.04	Professional	TC	$100.00	$151.36	$257.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $123.03	Professional		$93.33	$104.71	$123.03
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $144.54 / $562.34 / $562.34	Facility	26	$144.54	$562.34	$562.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $1,412.54	Professional		$138.04	$251.19	$1,412.54
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $85.11 / $389.05	Professional	26	$53.70	$85.11	$389.05
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $177.83 / $1,318.26	Professional	TC	$95.50	$177.83	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $467.74	Professional		$165.96	$251.19	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $177.83	Professional	26	$58.88	$85.11	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $165.96 / $323.59	Professional	TC	$102.33	$165.96	$323.59