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 / $87.58	Facility	26	$37.00	$65.67	$87.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.65 / $231.03 / $687.00	Professional		$134.65	$231.03	$687.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $51.11 / $167.84	Professional	26	$42.06	$51.11	$167.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $86.11 / $169.99 / $275.16	Professional	TC	$86.11	$169.99	$275.16
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 $145.13 / $304.13 / $1,657.60	Professional		$145.13	$304.13	$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 $100.15 / $209.38 / $1,357.90	Professional	TC	$100.15	$209.38	$1,357.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $29.72 / $58.24	Professional		$18.05	$29.72	$58.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.53 / $89.48 / $118.92	Professional	26	$53.53	$89.48	$118.92
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $216.35 / $301.70 / $442.62	Professional	TC	$216.35	$301.70	$442.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $304.27 / $536.34	Professional		$152.41	$304.27	$536.34
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 $105.62 / $226.90 / $426.99	Professional	TC	$105.62	$226.90	$426.99
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $132.63 / $246.73	Professional		$60.16	$132.63	$246.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $319.92 / $422.02	Professional		$161.38	$319.92	$422.02
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 $104.04 / $209.54 / $272.08	Professional	TC	$104.04	$209.54	$272.08
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $98.09 / $362.10	Professional		$68.18	$98.09	$362.10
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 $158.58 / $305.63 / $1,657.60	Professional		$158.58	$305.63	$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 $106.10 / $243.55 / $1,357.90	Professional	TC	$106.10	$243.55	$1,357.90
Tufts Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $128.02 / $243.07	Professional		$82.93	$128.02	$243.07
United Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $269.51 / $520.96	Professional		$157.88	$269.51	$520.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $66.23 / $135.99	Professional	26	$48.02	$66.23	$135.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.75 / $155.96 / $332.01	Professional	TC	$103.75	$155.96	$332.01