Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.08 / $45.08 / $169.12	Facility	26	$45.08	$45.08	$169.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $282.68 / $347.94	Professional		$170.71	$282.68	$347.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $60.00 / $184.12	Professional	26	$49.60	$60.00	$184.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.85 / $229.91 / $286.25	Professional	TC	$111.85	$229.91	$286.25
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $135.81 / $419.92 / $528.08	Facility	26	$135.81	$419.92	$528.08
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $187.63 / $366.64 / $1,941.31	Professional		$187.63	$366.64	$1,941.31
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 $134.47 / $279.32 / $1,950.00	Professional	TC	$134.47	$279.32	$1,950.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.56 / $108.06 / $145.93	Professional	26	$73.56	$108.06	$145.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $295.37 / $295.37 / $604.08	Professional	TC	$295.37	$295.37	$604.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.19 / $387.84 / $668.43	Professional		$201.19	$387.84	$668.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.59 / $86.75 / $176.47	Professional	26	$57.59	$86.75	$176.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $144.13 / $300.54 / $530.44	Professional	TC	$144.13	$300.54	$530.44
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $175.24 / $324.39	Professional		$73.81	$175.24	$324.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $427.31 / $554.85	Professional		$212.17	$427.31	$554.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.45 / $139.66 / $184.23	Professional	26	$70.45	$139.66	$184.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $141.72 / $282.64 / $370.61	Professional	TC	$141.72	$282.64	$370.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $97.75 / $180.93	Professional		$81.48	$97.75	$180.93
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $419.92 / $528.08 / $528.08	Facility	26	$419.92	$528.08	$528.08
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $200.90 / $387.32 / $1,941.31	Professional		$200.90	$387.32	$1,941.31
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $58.34 / $93.13 / $434.24	Professional	26	$58.34	$93.13	$434.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $140.21 / $291.22 / $1,950.00	Professional	TC	$140.21	$291.22	$1,950.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $185.77 / $311.74	Professional		$97.18	$185.77	$311.74
United Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $311.74 / $542.16	Professional		$199.94	$311.74	$542.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $78.90 / $162.91	Professional	26	$55.81	$78.90	$162.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $136.16 / $206.25 / $414.12	Professional	TC	$136.16	$206.25	$414.12