Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.09 / $47.09 / $174.88	Facility	26	$47.09	$47.09	$174.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.25 / $252.85 / $406.55	Professional		$198.25	$252.85	$406.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.09 / $57.89 / $92.60	Professional	26	$47.09	$57.89	$92.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.32 / $176.03 / $325.77	Professional	TC	$137.32	$176.03	$325.77
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.36 / $434.48 / $546.72	Facility	26	$141.36	$434.48	$546.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $218.60 / $448.84 / $2,362.66	Professional		$218.60	$448.84	$2,362.66
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $57.35 / $90.44 / $523.40	Professional	26	$57.35	$90.44	$523.40
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $164.48 / $343.06 / $2,412.00	Professional	TC	$164.48	$343.06	$2,412.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $80.95 / $113.62 / $151.00	Professional	26	$80.95	$113.62	$151.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $362.77 / $362.77 / $742.13	Professional	TC	$362.77	$362.77	$742.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $460.66 / $788.08	Professional		$235.20	$460.66	$788.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.62 / $90.14 / $183.56	Professional	26	$59.62	$90.14	$183.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.07 / $367.37 / $668.10	Professional	TC	$177.07	$367.37	$668.10
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $211.65 / $375.70	Professional		$76.40	$211.65	$375.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $245.35 / $486.38 / $641.61	Professional		$245.35	$486.38	$641.61
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.91 / $145.82 / $190.67	Professional	26	$72.91	$145.82	$190.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $172.44 / $343.91 / $450.95	Professional	TC	$172.44	$343.91	$450.95
Health New England Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $107.84 / $107.84	Professional		$107.84	$107.84	$107.84
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $434.48 / $546.72 / $546.72	Facility	26	$434.48	$546.72	$546.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $462.48 / $2,362.66	Professional		$236.24	$462.48	$2,362.66
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $60.39 / $96.89 / $523.40	Professional	26	$60.39	$96.89	$523.40
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $172.16 / $364.66 / $2,412.00	Professional	TC	$172.16	$364.66	$2,412.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $349.17 / $644.12	Professional		$232.78	$349.17	$644.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.71 / $80.93 / $148.51	Professional	26	$57.71	$80.93	$148.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $168.18 / $313.44 / $578.26	Professional	TC	$168.18	$313.44	$578.26