Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.64 / $46.28 / $147.85	Facility	26	$39.64	$46.28	$147.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $232.80 / $960.70	Professional		$136.80	$232.80	$960.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $50.12 / $163.68	Professional	26	$42.06	$50.12	$163.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $82.83 / $169.99 / $303.44	Professional	TC	$82.83	$169.99	$303.44
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $110.17 / $341.52 / $430.56	Facility	26	$110.17	$341.52	$430.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $305.22 / $1,657.60	Professional		$146.24	$305.22	$1,657.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $47.51 / $74.51 / $379.76	Professional	26	$47.51	$74.51	$379.76
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $100.91 / $211.83 / $1,357.90	Professional	TC	$100.91	$211.83	$1,357.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.89 / $303.91 / $583.07	Professional		$218.89	$303.91	$583.07
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.53 / $88.06 / $118.92	Professional	26	$53.53	$88.06	$118.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $308.95 / $537.92	Professional		$153.62	$308.95	$537.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $71.59 / $147.22	Professional	26	$49.68	$71.59	$147.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.43 / $229.25 / $428.58	Professional	TC	$106.43	$229.25	$428.58
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $133.68 / $247.99	Professional		$60.16	$133.68	$247.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $321.55 / $424.17	Professional		$162.19	$321.55	$424.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $114.36 / $149.94	Professional	26	$57.34	$114.36	$149.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $104.86 / $207.87 / $274.22	Professional	TC	$104.86	$207.87	$274.22
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $105.68 / $209.60	Professional		$68.18	$105.68	$209.60
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $430.56 / $430.56	Facility	26	$341.52	$430.56	$430.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $307.24 / $1,657.60	Professional		$159.78	$307.24	$1,657.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.08 / $76.88 / $379.76	Professional	26	$51.08	$76.88	$379.76
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $106.82 / $243.59 / $1,357.90	Professional	TC	$106.82	$243.59	$1,357.90
Tufts Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $151.65 / $266.00	Professional		$96.02	$151.65	$266.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $253.99 / $452.52	Professional		$158.07	$253.99	$452.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.59 / $64.20 / $117.93	Professional	26	$48.59	$64.20	$117.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.86 / $170.91 / $353.75	Professional	TC	$104.86	$170.91	$353.75