Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.00 / $65.67 / $138.06	Facility	26	$37.00	$65.67	$138.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $231.03 / $600.00	Professional		$134.65	$231.03	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.81 / $51.23 / $169.35	Professional	26	$41.81	$51.23	$169.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.77 / $169.99 / $217.98	Professional	TC	$84.77	$169.99	$217.98
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 $145.88 / $304.52 / $1,657.60	Professional		$145.88	$304.52	$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 $100.83 / $211.01 / $1,357.90	Professional	TC	$100.83	$211.01	$1,357.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $44.04 / $59.47	Professional		$26.77	$44.04	$59.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.53 / $88.06 / $136.78	Professional	26	$53.53	$88.06	$136.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $218.05 / $302.81 / $446.03	Professional	TC	$218.05	$302.81	$446.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $305.02 / $537.13	Professional		$153.22	$305.02	$537.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $70.79 / $145.04	Professional	26	$49.68	$70.79	$145.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.43 / $230.52 / $427.79	Professional	TC	$106.43	$230.52	$427.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $133.15 / $247.36	Professional		$60.16	$133.15	$247.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $320.73 / $423.10	Professional		$161.79	$320.73	$423.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $113.67 / $149.94	Professional	26	$57.34	$113.67	$149.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $104.45 / $208.32 / $273.14	Professional	TC	$104.45	$208.32	$273.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $105.68 / $279.02	Professional		$68.42	$105.68	$279.02
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 $159.38 / $306.44 / $1,657.60	Professional		$159.38	$306.44	$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 $105.57 / $208.40 / $246.38	Professional		$105.57	$208.40	$246.38
United Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $252.91 / $523.70	Professional		$158.07	$252.91	$523.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.59 / $65.59 / $117.79	Professional	26	$48.59	$65.59	$117.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $104.46 / $171.64 / $423.83	Professional	TC	$104.46	$171.64	$423.83