Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.52 / $79.06 / $165.09	Facility	26	$55.52	$79.06	$165.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.82 / $475.00 / $600.00	Professional		$233.82	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.12 / $112.50 / $166.95	Professional	26	$59.12	$112.50	$166.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.69 / $335.00 / $473.80	Professional	TC	$174.69	$335.00	$473.80
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $132.78 / $409.92 / $516.48	Facility	26	$132.78	$409.92	$516.48
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $272.22 / $529.97 / $2,972.47	Professional		$272.22	$529.97	$2,972.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.75 / $84.20 / $596.05	Professional	26	$53.75	$84.20	$596.05
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $212.07 / $429.10 / $2,698.84	Professional	TC	$212.07	$429.10	$2,698.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $52.82 / $82.05	Professional		$32.11	$52.82	$82.05
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.92 / $105.63 / $142.63	Professional	26	$71.92	$105.63	$142.63
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $563.25 / $706.23 / $920.22	Professional	TC	$563.25	$706.23	$920.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.29 / $585.80 / $1,243.91	Professional		$281.29	$585.80	$1,243.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.32 / $85.81 / $175.14	Professional	26	$56.32	$85.81	$175.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.55 / $506.48 / $1,045.53	Professional	TC	$219.55	$506.48	$1,045.53
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $260.16 / $460.28	Professional		$72.18	$260.16	$460.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $342.04 / $584.92 / $799.43	Professional		$342.04	$584.92	$799.43
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $68.81 / $137.22 / $179.94	Professional	26	$68.81	$137.22	$179.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $215.04 / $433.09 / $562.35	Professional	TC	$215.04	$433.09	$562.35
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $86.73 / $146.38	Professional		$79.59	$86.73	$146.38
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $409.92 / $516.48 / $516.48	Facility	26	$409.92	$516.48	$516.48
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $544.44 / $2,972.47	Professional		$269.52	$544.44	$2,972.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $57.05 / $89.30 / $596.05	Professional	26	$57.05	$89.30	$596.05
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $205.89 / $456.46 / $2,698.84	Professional	TC	$205.89	$456.46	$2,698.84
United Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $466.54 / $860.16	Professional		$260.20	$466.54	$860.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.26 / $76.56 / $148.13	Professional	26	$54.26	$76.56	$148.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.86 / $359.52 / $851.44	Professional	TC	$198.86	$359.52	$851.44