Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $112.20 / $302.00	Facility	26	$52.48	$112.20	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $1,412.54	Professional		$218.78	$346.74	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $117.49 / $234.42	Professional	26	$64.57	$117.49	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $218.78 / $537.03	Professional	TC	$144.54	$218.78	$537.03
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $691.83 / $691.83	Facility	26	$177.83	$691.83	$691.83
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $2,041.74	Professional		$204.17	$363.08	$2,041.74
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $107.15 / $489.78	Professional	26	$64.57	$107.15	$489.78
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $269.15 / $1,995.26	Professional	TC	$154.88	$269.15	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,023.29	Professional		$354.81	$616.60	$1,023.29
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $147.91 / $199.53	Professional	26	$87.10	$147.91	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $426.58 / $741.31	Professional		$208.93	$426.58	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $104.71 / $223.87	Professional	26	$63.10	$104.71	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $323.59 / $524.81	Professional	TC	$158.49	$323.59	$524.81
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $489.78	Professional		$100.00	$234.42	$489.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $660.69	Professional		$251.19	$371.54	$660.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $114.82 / $208.93	Professional	26	$75.86	$114.82	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $239.88 / $416.87	Professional	TC	$162.18	$239.88	$416.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $138.04	Professional		$107.15	$125.89	$138.04
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $691.83 / $691.83	Facility	26	$177.83	$691.83	$691.83
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $2,041.74	Professional		$204.17	$363.08	$2,041.74
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $107.15 / $489.78	Professional	26	$64.57	$107.15	$489.78
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $269.15 / $1,995.26	Professional	TC	$154.88	$269.15	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $691.83	Professional		$251.19	$363.08	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $107.15 / $223.87	Professional	26	$69.18	$107.15	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $263.03 / $512.86	Professional	TC	$165.96	$263.03	$512.86