Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.76 / $79.31 / $166.16	Facility	26	$76.76	$79.31	$166.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.08 / $475.00 / $600.00	Professional		$237.08	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.90 / $126.00 / $181.53	Professional	26	$60.90	$126.00	$181.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.70 / $335.00 / $433.05	Professional	TC	$176.70	$335.00	$433.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $133.63 / $412.32 / $519.52	Facility	26	$133.63	$412.32	$519.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $258.27 / $516.54 / $2,976.23	Professional		$258.27	$516.54	$2,976.23
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.75 / $84.20 / $505.24	Professional	26	$53.75	$84.20	$505.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $198.13 / $413.10 / $2,703.83	Professional	TC	$198.13	$413.10	$2,703.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.64 / $108.05 / $165.17	Professional	26	$64.64	$108.05	$165.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $526.20 / $548.38 / $856.29	Professional	TC	$526.20	$548.38	$856.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.47 / $569.11 / $1,247.88	Professional		$266.47	$569.11	$1,247.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.66 / $86.60 / $173.42	Professional	26	$56.66	$86.60	$173.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $204.32 / $495.00 / $1,061.01	Professional	TC	$204.32	$495.00	$1,061.01
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $245.75 / $434.43	Professional		$72.62	$245.75	$434.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $537.53 / $704.82	Professional		$269.52	$537.53	$704.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.22 / $137.22 / $181.02	Professional	26	$69.22	$137.22	$181.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $200.29 / $399.46 / $523.78	Professional	TC	$200.29	$399.46	$523.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $115.56 / $466.65	Professional		$81.81	$115.56	$466.65
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $412.32 / $519.52 / $519.52	Facility	26	$412.32	$519.52	$519.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $255.94 / $529.97 / $2,976.23	Professional		$255.94	$529.97	$2,976.23
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $57.05 / $89.76 / $505.24	Professional	26	$57.05	$89.76	$505.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $195.04 / $432.42 / $2,703.83	Professional	TC	$195.04	$432.42	$2,703.83
United Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $400.16 / $780.56	Professional		$250.10	$400.16	$780.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.05 / $76.45 / $148.13	Professional	26	$57.05	$76.45	$148.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $188.39 / $273.00 / $629.41	Professional	TC	$188.39	$273.00	$629.41