Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.04 / $51.05 / $190.26	Facility	26	$51.04	$51.05	$190.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $347.48 / $427.97	Professional		$196.55	$347.48	$427.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.05 / $62.95 / $198.00	Professional	26	$51.05	$62.95	$198.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.68 / $274.56 / $353.66	Professional	TC	$136.68	$274.56	$353.66
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $138.33 / $429.60 / $540.48	Facility	26	$138.33	$429.60	$540.48
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $448.20 / $2,388.60	Professional		$221.24	$448.20	$2,388.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $59.45 / $94.73 / $543.21	Professional	26	$59.45	$94.73	$543.21
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $161.66 / $341.48 / $2,032.36	Professional	TC	$161.66	$341.48	$2,032.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.23 / $110.59 / $171.79	Professional	26	$67.23	$110.59	$171.79
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $361.09 / $361.09 / $740.42	Professional	TC	$361.09	$361.09	$740.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.41 / $450.90 / $798.24	Professional		$233.41	$450.90	$798.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.08 / $92.50 / $184.88	Professional	26	$60.08	$92.50	$184.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.67 / $353.56 / $668.10	Professional	TC	$176.67	$353.56	$668.10
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $211.65 / $374.48	Professional		$75.54	$211.65	$374.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $244.53 / $489.06 / $639.47	Professional		$244.53	$489.06	$639.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.09 / $143.78 / $188.52	Professional	26	$72.09	$143.78	$188.52
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $172.44 / $343.91 / $450.95	Professional	TC	$172.44	$343.91	$450.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $95.12 / $313.57	Professional		$82.92	$95.12	$313.57
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $429.60 / $540.48 / $540.48	Facility	26	$429.60	$540.48	$540.48
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $239.21 / $466.76 / $2,388.60	Professional		$239.21	$466.76	$2,388.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $65.20 / $102.80 / $543.21	Professional	26	$65.20	$102.80	$543.21
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $171.19 / $364.66 / $2,032.36	Professional	TC	$171.19	$364.66	$2,032.36
United Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $353.51 / $654.61	Professional		$235.67	$353.51	$654.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.45 / $84.44 / $161.76	Professional	26	$59.45	$84.44	$161.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.30 / $238.50 / $518.95	Professional	TC	$165.30	$238.50	$518.95