Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.15 / $40.15 / $87.85	Facility	26	$40.15	$40.15	$87.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $158.75 / $448.00	Professional		$122.35	$158.75	$448.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.15 / $53.14 / $149.80	Professional	26	$40.15	$53.14	$149.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.19 / $97.45 / $227.41	Professional	TC	$82.19	$97.45	$227.41
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 $139.83 / $218.28 / $915.52	Professional		$139.83	$218.28	$915.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.53 / $70.36 / $323.73	Professional	26	$45.53	$70.36	$323.73
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $95.54 / $147.91 / $591.79	Professional	TC	$95.54	$147.91	$591.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $249.62 / $400.40	Professional		$40.71	$249.62	$400.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.17 / $95.54 / $129.02	Professional	26	$69.17	$95.54	$129.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.62 / $227.94 / $466.46	Professional	TC	$98.62	$227.94	$466.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $217.15 / $451.63	Professional		$162.16	$217.15	$451.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.92 / $72.20 / $151.41	Professional	26	$50.92	$72.20	$151.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $107.78 / $142.44 / $293.77	Professional	TC	$107.78	$142.44	$293.77
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $137.41 / $256.48	Professional		$65.26	$137.41	$256.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $171.62 / $340.22 / $448.80	Professional		$171.62	$340.22	$448.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $62.26 / $124.17 / $162.82	Professional	26	$62.26	$124.17	$162.82
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $109.36 / $218.11 / $285.99	Professional	TC	$109.36	$218.11	$285.99
Health New England Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $151.00 / $227.28	Professional		$72.02	$151.00	$227.28
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 $152.94 / $218.28 / $915.52	Professional		$152.94	$218.28	$915.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.01 / $70.84 / $323.73	Professional	26	$51.01	$70.84	$323.73
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $103.57 / $147.91 / $591.79	Professional	TC	$103.57	$147.91	$591.79
Tufts Facility/Professional Professional Modifier Low / Median / High Price $111.41 / $208.00 / $282.50	Professional		$111.41	$208.00	$282.50
United Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $209.19 / $375.95	Professional		$152.94	$209.19	$375.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.01 / $70.36 / $129.66	Professional	26	$51.01	$70.36	$129.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.80 / $144.44 / $365.03	Professional	TC	$101.80	$144.44	$365.03