Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.17 / $54.20 / $172.05	Facility	26	$46.17	$54.20	$172.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $295.58 / $610.48	Professional		$167.61	$295.58	$610.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.17 / $57.30 / $148.00	Professional	26	$46.17	$57.30	$148.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $119.70 / $237.91 / $490.66	Professional	TC	$119.70	$237.91	$490.66
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $129.69 / $400.16 / $504.00	Facility	26	$129.69	$400.16	$504.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $366.89 / $1,947.01	Professional		$186.94	$366.89	$1,947.01
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $55.69 / $88.14 / $450.76	Professional	26	$55.69	$88.14	$450.76
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $132.36 / $278.50 / $1,624.23	Professional	TC	$132.36	$278.50	$1,624.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $363.95 / $733.80	Professional		$43.98	$363.95	$733.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.26 / $104.86 / $160.29	Professional	26	$70.26	$104.86	$160.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $376.20 / $376.20 / $376.20	Professional	TC	$376.20	$376.20	$376.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.01 / $380.82 / $646.45	Professional		$198.01	$380.82	$646.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.97 / $83.85 / $172.49	Professional	26	$54.97	$83.85	$172.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.32 / $284.13 / $529.64	Professional	TC	$143.32	$284.13	$529.64
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $174.23 / $318.37	Professional		$70.45	$174.23	$318.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.08 / $414.99 / $544.15	Professional		$208.08	$414.99	$544.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.17 / $133.96 / $175.66	Professional	26	$67.17	$133.96	$175.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $140.90 / $281.01 / $368.47	Professional	TC	$140.90	$281.01	$368.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $114.30 / $415.83	Professional		$79.87	$114.30	$415.83
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $400.16 / $504.00 / $504.00	Facility	26	$400.16	$504.00	$504.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $380.38 / $1,947.01	Professional		$200.06	$380.38	$1,947.01
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $59.18 / $92.95 / $450.76	Professional	26	$59.18	$92.95	$450.76
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $139.81 / $291.22 / $1,624.23	Professional	TC	$139.81	$291.22	$1,624.23
Tufts Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $252.00 / $344.93	Professional		$136.43	$252.00	$344.93
United Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $316.26 / $530.47	Professional		$199.21	$316.26	$530.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.12 / $79.18 / $143.22	Professional	26	$56.12	$79.18	$143.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.33 / $216.53 / $478.22	Professional	TC	$135.33	$216.53	$478.22