Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.71 / $53.71 / $200.02	Facility	26	$53.71	$53.71	$200.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $340.04 / $553.64	Professional		$220.07	$340.04	$553.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.71 / $77.34 / $218.87	Professional	26	$53.71	$77.34	$218.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.63 / $277.86 / $456.29	Professional	TC	$144.63	$277.86	$456.29
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $179.15 / $553.91 / $697.76	Facility	26	$179.15	$553.91	$697.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $236.91 / $419.87 / $2,036.01	Professional		$236.91	$419.87	$2,036.01
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $65.17 / $112.47 / $484.69	Professional	26	$65.17	$112.47	$484.69
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $161.66 / $339.66 / $2,005.00	Professional	TC	$161.66	$339.66	$2,005.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $86.74 / $144.99 / $192.69	Professional	26	$86.74	$144.99	$192.69
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $382.16 / $382.16 / $786.39	Professional	TC	$382.16	$382.16	$786.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $438.22 / $778.72	Professional		$261.58	$438.22	$778.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.55 / $107.44 / $233.23	Professional	26	$75.55	$107.44	$233.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $187.65 / $336.47 / $638.66	Professional	TC	$187.65	$336.47	$638.66
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $228.75 / $420.97	Professional		$97.50	$228.75	$420.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.25 / $545.66 / $719.81	Professional		$275.25	$545.66	$719.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $92.98 / $184.32 / $243.15	Professional	26	$92.98	$184.32	$243.15
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $182.27 / $363.52 / $476.65	Professional	TC	$182.27	$363.52	$476.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $126.69 / $218.81	Professional		$107.08	$126.69	$218.81
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $553.91 / $697.76 / $697.76	Facility	26	$553.91	$697.76	$697.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $260.60 / $437.24 / $2,036.01	Professional		$260.60	$437.24	$2,036.01
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $69.73 / $116.72 / $484.69	Professional	26	$69.73	$116.72	$484.69
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $171.20 / $350.20 / $2,005.00	Professional	TC	$171.20	$350.20	$2,005.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.66 / $351.66 / $611.34	Professional		$248.66	$351.66	$611.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.94 / $107.69 / $221.12	Professional	26	$65.94	$107.69	$221.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.66 / $264.95 / $582.54	Professional	TC	$161.66	$264.95	$582.54