Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.23 / $45.23 / $168.05	Facility	26	$45.23	$45.23	$168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.39 / $282.06 / $377.23	Professional		$169.39	$282.06	$377.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.23 / $58.50 / $133.97	Professional	26	$45.23	$58.50	$133.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.89 / $214.72 / $291.42	Professional	TC	$110.89	$214.72	$291.42
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $135.18 / $417.20 / $525.76	Facility	26	$135.18	$417.20	$525.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $186.27 / $366.24 / $1,938.85	Professional		$186.27	$366.24	$1,938.85
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.77 / $87.42 / $434.24	Professional	26	$54.77	$87.42	$434.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $133.06 / $276.89 / $1,624.23	Professional	TC	$133.06	$276.89	$1,624.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.23 / $107.55 / $145.24	Professional	26	$73.23	$107.55	$145.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $292.83 / $378.41 / $599.01	Professional	TC	$292.83	$378.41	$599.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $385.00 / $664.25	Professional		$199.69	$385.00	$664.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $86.20 / $176.47	Professional	26	$57.34	$86.20	$176.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $142.91 / $297.95 / $530.44	Professional	TC	$142.91	$297.95	$530.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $173.21 / $321.38	Professional		$73.48	$173.21	$321.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $393.98 / $558.50	Professional		$70.04	$393.98	$558.50
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $81.95 / $144.33 / $185.72	Professional	26	$81.95	$144.33	$185.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $140.08 / $282.12 / $366.32	Professional	TC	$140.08	$282.12	$366.32
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $107.01 / $179.97	Professional		$81.02	$107.01	$179.97
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $417.20 / $525.76 / $525.76	Facility	26	$417.20	$525.76	$525.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $383.64 / $1,938.85	Professional		$199.40	$383.64	$1,938.85
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $58.08 / $92.58 / $434.24	Professional	26	$58.08	$92.58	$434.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $139.01 / $291.22 / $1,624.23	Professional	TC	$139.01	$291.22	$1,624.23
United Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $283.74 / $528.85	Professional		$198.49	$283.74	$528.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.77 / $74.04 / $143.50	Professional	26	$54.77	$74.04	$143.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.05 / $217.68 / $413.57	Professional	TC	$136.05	$217.68	$413.57