Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $95.50 / $229.09	Facility	26	$44.67	$95.50	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $1,096.48	Professional		$169.82	$281.84	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $102.33 / $223.87	Professional	26	$53.70	$102.33	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $177.83 / $446.68	Professional	TC	$112.20	$177.83	$446.68
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $524.81 / $524.81	Facility	26	$134.90	$524.81	$524.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,949.84	Professional		$162.18	$316.23	$1,949.84
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $436.52	Professional	26	$50.12	$81.28	$436.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $245.47 / $1,621.81	Professional	TC	$123.03	$245.47	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $776.25	Professional		$269.15	$467.74	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $112.20 / $147.91	Professional	26	$66.07	$112.20	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $616.60	Professional		$173.78	$371.54	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $83.18 / $169.82	Professional	26	$48.98	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $281.84 / $467.74	Professional	TC	$125.89	$281.84	$467.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $389.05	Professional		$75.86	$181.97	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $257.04 / $524.81	Professional		$67.61	$257.04	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $109.65 / $177.83	Professional	26	$57.54	$109.65	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $338.84	Professional	TC	$131.83	$190.55	$338.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $114.82	Professional		$81.28	$107.15	$114.82
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $524.81 / $524.81	Facility	26	$134.90	$524.81	$524.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $1,949.84	Professional		$162.18	$316.23	$1,949.84
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $81.28 / $436.52	Professional	26	$51.29	$81.28	$436.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $245.47 / $1,621.81	Professional	TC	$117.49	$245.47	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $169.82	Professional	26	$56.23	$81.28	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $218.78 / $426.58	Professional	TC	$134.90	$218.78	$426.58