Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $102.33 / $234.42	Facility	26	$51.29	$102.33	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,288.25	Professional		$194.98	$309.03	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $102.33 / $245.47	Professional	26	$54.95	$102.33	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $218.78 / $588.84	Professional	TC	$134.90	$218.78	$588.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $537.03 / $537.03	Facility	26	$138.04	$537.03	$537.03
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $389.05 / $2,398.83	Professional		$190.55	$389.05	$2,398.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $537.03	Professional	26	$54.95	$89.13	$537.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $302.00 / $2,041.74	Professional	TC	$151.36	$302.00	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $933.25	Professional		$316.23	$549.54	$933.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $114.82 / $154.88	Professional	26	$67.61	$114.82	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $691.83	Professional		$204.17	$436.52	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $91.20 / $177.83	Professional	26	$50.12	$91.20	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $331.13 / $524.81	Professional	TC	$154.88	$331.13	$524.81
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $457.09	Professional		$79.43	$218.78	$457.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $616.60	Professional		$213.80	$346.74	$616.60
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $158.49	Professional	26	$63.10	$91.20	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $234.42 / $416.87	Professional	TC	$162.18	$234.42	$416.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $316.23	Professional		$83.18	$95.50	$316.23
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $537.03 / $537.03	Facility	26	$138.04	$537.03	$537.03
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $389.05 / $2,398.83	Professional		$190.55	$389.05	$2,398.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $89.13 / $537.03	Professional	26	$56.23	$89.13	$537.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $295.12 / $2,041.74	Professional	TC	$147.91	$295.12	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $660.69	Professional		$234.42	$389.05	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $91.20 / $177.83	Professional	26	$61.66	$91.20	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $269.15 / $524.81	Professional	TC	$165.96	$269.15	$524.81