Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.07 / $45.08 / $168.05	Facility	26	$45.07	$45.08	$168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $343.39 / $433.59	Professional		$206.78	$343.39	$433.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.08 / $58.18 / $154.79	Professional	26	$45.08	$58.18	$154.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $161.69 / $214.05 / $357.10	Professional	TC	$161.69	$214.05	$357.10
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 $268.47 / $452.47 / $2,261.56	Professional		$268.47	$452.47	$2,261.56
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.77 / $87.42 / $439.20	Professional	26	$54.77	$87.42	$439.20
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $209.28 / $412.74 / $1,946.93	Professional	TC	$209.28	$412.74	$1,946.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.38 / $107.55 / $145.24	Professional	26	$65.38	$107.55	$145.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $450.40 / $450.40 / $907.38	Professional	TC	$450.40	$450.40	$907.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.33 / $483.86 / $864.58	Professional		$268.33	$483.86	$864.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $86.20 / $175.42	Professional	26	$57.34	$86.20	$175.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.06 / $401.75 / $714.22	Professional	TC	$242.06	$401.75	$714.22
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $291.50 / $507.28	Professional		$73.48	$291.50	$507.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $312.12 / $618.75 / $816.22	Professional		$312.12	$618.75	$816.22
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 $242.07 / $482.78 / $633.04	Professional	TC	$242.07	$482.78	$633.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $80.55 / $82.79 / $92.35	Professional		$80.55	$82.79	$92.35
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 $292.01 / $495.46 / $2,261.56	Professional		$292.01	$495.46	$2,261.56
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $57.84 / $92.58 / $439.20	Professional	26	$57.84	$92.58	$439.20
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $221.60 / $420.27 / $1,946.93	Professional	TC	$221.60	$420.27	$1,946.93
United Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $403.52 / $706.48	Professional		$276.45	$403.52	$706.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.77 / $74.93 / $141.91	Professional	26	$54.77	$74.93	$141.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $214.56 / $321.02 / $827.31	Professional	TC	$214.56	$321.02	$827.31