Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.79 / $50.20 / $141.02	Facility	26	$37.79	$50.20	$141.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $244.73 / $762.27	Professional		$135.46	$244.73	$762.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $52.95 / $167.84	Professional	26	$37.79	$52.95	$167.84
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $66.95 / $83.63 / $123.97	Professional	52	$66.95	$83.63	$123.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.87 / $171.09 / $781.00	Professional	TC	$81.87	$171.09	$781.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $120.14 / $371.04 / $466.96	Facility	26	$120.14	$371.04	$466.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $304.52 / $1,657.60	Professional		$149.36	$304.52	$1,657.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $51.57 / $78.77 / $394.61	Professional	26	$51.57	$78.77	$394.61
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $99.17 / $209.38 / $1,384.00	Professional	TC	$99.17	$209.38	$1,384.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $361.71 / $642.64	Professional		$266.30	$361.71	$642.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.17 / $97.09 / $129.02	Professional	26	$69.17	$97.09	$129.02
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $39.72 / $147.63 / $295.47	Professional	52	$39.72	$147.63	$295.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $304.68 / $536.34	Professional		$156.69	$304.68	$536.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.92 / $76.36 / $158.44	Professional	26	$50.92	$76.36	$158.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.62 / $220.15 / $426.99	Professional	TC	$105.62	$220.15	$426.99
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $132.11 / $253.34	Professional		$65.26	$132.11	$253.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $314.69 / $433.82	Professional		$165.89	$314.69	$433.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $62.26 / $125.39 / $162.82	Professional	26	$62.26	$125.39	$162.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $103.63 / $206.68 / $271.00	Professional	TC	$103.63	$206.68	$271.00
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $123.75 / $288.56	Professional		$79.65	$123.75	$288.56
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $371.04 / $466.96 / $466.96	Facility	26	$371.04	$466.96	$466.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $313.38 / $1,657.60	Professional		$163.38	$313.38	$1,657.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $54.84 / $82.87 / $394.61	Professional	26	$54.84	$82.87	$394.61
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $102.66 / $238.61 / $1,384.00	Professional	TC	$102.66	$238.61	$1,384.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $147.91 / $266.00	Professional		$95.11	$147.91	$266.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $259.76 / $451.43	Professional		$160.50	$259.76	$451.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $71.03 / $131.82	Professional	26	$52.12	$71.03	$131.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.41 / $172.80 / $331.15	Professional	TC	$101.41	$172.80	$331.15