Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.34 / $64.09 / $191.33	Facility	26	$51.34	$64.09	$191.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.97 / $293.00 / $544.34	Professional		$185.97	$293.00	$544.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.88 / $70.23 / $209.31	Professional	26	$55.88	$70.23	$209.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $229.86 / $416.77	Professional	TC	$119.70	$229.86	$416.77
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $154.07 / $473.36 / $596.24	Facility	26	$154.07	$473.36	$596.24
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $347.94 / $1,680.90	Professional		$197.44	$347.94	$1,680.90
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $61.94 / $99.04 / $414.94	Professional	26	$61.94	$99.04	$414.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $132.00 / $273.07 / $1,425.00	Professional	TC	$132.00	$273.07	$1,425.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $395.77 / $740.93	Professional		$51.99	$395.77	$740.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.16 / $123.97 / $164.75	Professional	26	$74.16	$123.97	$164.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.89 / $366.04 / $647.09	Professional		$217.89	$366.04	$647.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.02 / $97.90 / $199.80	Professional	26	$65.02	$97.90	$199.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.49 / $275.58 / $507.36	Professional	TC	$153.49	$275.58	$507.36
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $188.47 / $350.65	Professional		$83.33	$188.47	$350.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.38 / $457.48 / $599.85	Professional		$229.38	$457.48	$599.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $79.45 / $157.52 / $207.80	Professional	26	$79.45	$157.52	$207.80
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $149.91 / $301.92 / $392.03	Professional	TC	$149.91	$301.92	$392.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $125.95 / $400.74	Professional		$94.48	$125.95	$400.74
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $473.36 / $596.24 / $596.24	Facility	26	$473.36	$596.24	$596.24
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $216.55 / $362.72 / $1,680.90	Professional		$216.55	$362.72	$1,680.90
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $65.88 / $105.54 / $414.94	Professional	26	$65.88	$105.54	$414.94
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $139.78 / $283.02 / $1,425.00	Professional	TC	$139.78	$283.02	$1,425.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $256.67 / $319.86	Professional		$164.96	$256.67	$319.86
United Facility/Professional Professional Modifier Low / Median / High Price $205.71 / $295.33 / $517.09	Professional		$205.71	$295.33	$517.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.02 / $87.70 / $162.59	Professional	26	$63.02	$87.70	$162.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.97 / $209.76 / $399.54	Professional	TC	$134.97	$209.76	$399.54