Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.68 / $79.59 / $166.16	Facility	26	$69.68	$79.59	$166.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.86 / $463.75 / $911.67	Professional		$253.86	$463.75	$911.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.04 / $112.50 / $181.53	Professional	26	$68.04	$112.50	$181.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $179.61 / $335.00 / $513.05	Professional	TC	$179.61	$335.00	$513.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $166.50 / $515.04 / $648.08	Facility	26	$166.50	$515.04	$648.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $554.24 / $3,076.60	Professional		$291.45	$554.24	$3,076.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $55.43 / $104.53 / $867.00	Professional	26	$55.43	$104.53	$867.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $218.05 / $441.40 / $2,790.07	Professional	TC	$218.05	$441.40	$2,790.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $66.31 / $103.00	Professional		$40.31	$66.31	$103.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $90.28 / $132.60 / $179.08	Professional	26	$90.28	$132.60	$179.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $579.12 / $579.12 / $945.81	Professional	TC	$579.12	$579.12	$945.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $600.00 / $1,303.58	Professional		$303.08	$600.00	$1,303.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.63 / $100.27 / $217.04	Professional	26	$62.63	$100.27	$217.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $225.65 / $506.48 / $1,123.05	Professional	TC	$225.65	$506.48	$1,123.05
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $270.92 / $485.53	Professional		$90.58	$270.92	$485.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $618.70 / $825.46	Professional		$307.20	$618.70	$825.46
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $86.43 / $172.38 / $226.02	Professional	26	$86.43	$172.38	$226.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $220.77 / $440.30 / $577.34	Professional	TC	$220.77	$440.30	$577.34
Health New England Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $111.55 / $119.72	Professional		$102.76	$111.55	$119.72
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $515.04 / $648.08 / $648.08	Facility	26	$515.04	$648.08	$648.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $573.77 / $3,076.60	Professional		$291.39	$573.77	$3,076.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $59.57 / $104.53 / $867.00	Professional	26	$59.57	$104.53	$867.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $209.64 / $461.37 / $2,790.07	Professional	TC	$209.64	$461.37	$2,790.07
United Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $463.35 / $812.69	Professional		$279.33	$463.35	$812.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.83 / $90.50 / $176.69	Professional	26	$57.83	$90.50	$176.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $202.46 / $304.63 / $849.72	Professional	TC	$202.46	$304.63	$849.72