Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.96 / $42.97 / $160.27	Facility	26	$42.96	$42.97	$160.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.77 / $284.45 / $572.05	Professional		$178.77	$284.45	$572.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.00 / $58.92 / $162.16	Professional	26	$47.00	$58.92	$162.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.80 / $225.94 / $385.54	Professional	TC	$135.80	$225.94	$385.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $128.84 / $397.76 / $501.04	Facility	26	$128.84	$397.76	$501.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $238.62 / $393.19 / $1,871.61	Professional		$238.62	$393.19	$1,871.61
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.13 / $82.87 / $364.90	Professional	26	$52.13	$82.87	$364.90
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $185.12 / $328.72 / $1,571.91	Professional	TC	$185.12	$328.72	$1,571.91
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.28 / $104.16 / $138.41	Professional	26	$72.28	$104.16	$138.41
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $356.88 / $450.40 / $905.67	Professional	TC	$356.88	$450.40	$905.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.44 / $399.12 / $778.49	Professional		$231.44	$399.12	$778.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $81.93 / $168.37	Professional	26	$54.63	$81.93	$168.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.92 / $324.52 / $621.89	Professional	TC	$211.92	$324.52	$621.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $259.91 / $458.76	Professional		$70.02	$259.91	$458.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $282.62 / $560.27 / $739.08	Professional		$282.62	$560.27	$739.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.76 / $133.15 / $174.58	Professional	26	$66.76	$133.15	$174.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $215.86 / $430.51 / $564.50	Professional	TC	$215.86	$430.51	$564.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $95.53 / $164.38	Professional		$79.38	$95.53	$164.38
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $397.76 / $501.04 / $501.04	Facility	26	$397.76	$501.04	$501.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $401.82 / $1,871.61	Professional		$250.00	$401.82	$1,871.61
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $55.34 / $88.28 / $364.90	Professional	26	$55.34	$88.28	$364.90
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $193.26 / $344.07 / $1,571.91	Professional	TC	$193.26	$344.07	$1,571.91
United Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $343.10 / $639.37	Professional		$248.75	$343.10	$639.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.84 / $76.54 / $136.12	Professional	26	$54.84	$76.54	$136.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.58 / $266.56 / $564.50	Professional	TC	$186.58	$266.56	$564.50