Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $100.00 / $239.88	Facility	26	$46.77	$100.00	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $660.69	Professional		$190.55	$275.42	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $173.78	Professional	26	$51.29	$72.44	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $549.54	Professional	TC	$131.83	$190.55	$549.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $2,344.23	Professional		$186.21	$389.05	$2,344.23
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $83.18 / $524.81	Professional	26	$52.48	$83.18	$524.81
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $302.00 / $2,398.83	Professional	TC	$151.36	$302.00	$2,398.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $154.88	Professional	26	$67.61	$117.49	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $724.44	Professional		$204.17	$446.68	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $87.10 / $177.83	Professional	26	$51.29	$87.10	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $346.74 / $588.84	Professional	TC	$158.49	$346.74	$588.84
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $457.09	Professional		$79.43	$218.78	$457.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $588.84	Professional		$199.53	$331.13	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $158.49	Professional	26	$60.26	$89.13	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $234.42 / $416.87	Professional	TC	$162.18	$234.42	$416.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $2,344.23	Professional		$186.21	$389.05	$2,344.23
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $83.18 / $524.81	Professional	26	$53.70	$83.18	$524.81
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $295.12 / $2,398.83	Professional	TC	$147.91	$295.12	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $645.65	Professional		$234.42	$389.05	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $177.83	Professional	26	$58.88	$83.18	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $269.15 / $524.81	Professional	TC	$165.96	$269.15	$524.81