Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $69.18 / $186.21	Facility	26	$37.15	$69.18	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $891.25	Professional		$134.90	$245.47	$891.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $77.62 / $190.55	Professional	26	$43.65	$77.62	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $144.54 / $398.11	Professional	TC	$85.11	$144.54	$398.11
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $426.58 / $426.58	Facility	26	$109.65	$426.58	$426.58
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $1,659.59	Professional		$128.82	$263.03	$1,659.59
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $66.07 / $380.19	Professional	26	$42.66	$66.07	$380.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $190.55 / $1,348.96	Professional	TC	$91.20	$190.55	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $616.60	Professional		$204.17	$354.81	$616.60
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $91.20 / $123.03	Professional	26	$53.70	$91.20	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $489.78	Professional		$134.90	$302.00	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $70.79 / $141.25	Professional	26	$40.74	$70.79	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $218.78 / $371.54	Professional	TC	$97.72	$218.78	$371.54
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $138.04 / $295.12	Professional		$63.10	$138.04	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $389.05	Professional		$144.54	$223.87	$389.05
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $131.83	Professional	26	$51.29	$70.79	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $147.91 / $251.19	Professional	TC	$97.72	$147.91	$251.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $281.84	Professional		$67.61	$87.10	$281.84
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $426.58 / $426.58	Facility	26	$109.65	$426.58	$426.58
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $1,659.59	Professional		$128.82	$263.03	$1,659.59
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $66.07 / $380.19	Professional	26	$43.65	$66.07	$380.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $190.55 / $1,348.96	Professional	TC	$91.20	$190.55	$1,348.96
Tufts Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $275.42	Professional		$120.23	$223.87	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $446.68	Professional		$158.49	$257.04	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $66.07 / $141.25	Professional	26	$48.98	$66.07	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $169.82 / $331.13	Professional	TC	$102.33	$169.82	$331.13