Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.22 / $45.23 / $168.05	Facility	26	$45.22	$45.23	$168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $293.87 / $424.50	Professional		$169.71	$293.87	$424.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.60 / $59.72 / $183.46	Professional	26	$49.60	$59.72	$183.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.21 / $229.28 / $285.48	Professional	TC	$111.21	$229.28	$285.48
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 $186.62 / $366.24 / $1,938.85	Professional		$186.62	$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 $133.41 / $277.70 / $1,906.00	Professional	TC	$133.41	$277.70	$1,906.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.87 / $107.55 / $145.24	Professional	26	$77.87	$107.55	$145.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $293.67 / $377.30 / $600.66	Professional	TC	$293.67	$377.30	$600.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.09 / $385.77 / $665.29	Professional		$200.09	$385.77	$665.29
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 $143.32 / $297.80 / $529.64	Professional	TC	$143.32	$297.80	$529.64
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $174.23 / $322.66	Professional		$73.48	$174.23	$322.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $210.94 / $424.83 / $564.77	Professional		$210.94	$424.83	$564.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $70.04 / $139.69 / $183.16	Professional	26	$70.04	$139.69	$183.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $140.90 / $281.01 / $368.47	Professional	TC	$140.90	$281.01	$368.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $107.01 / $179.97	Professional		$83.28	$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 $199.78 / $385.20 / $1,938.85	Professional		$199.78	$385.20	$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 $139.41 / $291.22 / $1,906.00	Professional	TC	$139.41	$291.22	$1,906.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $275.37 / $310.00	Professional		$151.00	$275.37	$310.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.78 / $345.99 / $683.90	Professional		$199.78	$345.99	$683.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.81 / $77.33 / $142.84	Professional	26	$55.81	$77.33	$142.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $135.38 / $204.62 / $413.01	Professional	TC	$135.38	$204.62	$413.01