Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.25 / $115.18 / $239.62	Facility	26	$80.25	$115.18	$239.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.24 / $475.00 / $600.00	Professional		$277.24	$475.00	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.19 / $119.21 / $166.95	Professional	26	$85.19	$119.21	$166.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $192.05 / $335.00 / $469.92	Professional	TC	$192.05	$335.00	$469.92
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $193.12 / $593.12 / $746.48	Facility	26	$193.12	$593.12	$746.48
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $639.55 / $3,491.47	Professional		$319.77	$639.55	$3,491.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $73.06 / $125.57 / $657.14	Professional	26	$73.06	$125.57	$657.14
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $233.19 / $486.95 / $3,042.45	Professional	TC	$233.19	$486.95	$3,042.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $77.59 / $103.12	Professional		$46.42	$77.59	$103.12
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $110.56 / $155.16 / $237.20	Professional	26	$110.56	$155.16	$237.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $706.23 / $756.95 / $1,014.71	Professional	TC	$706.23	$756.95	$1,014.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.66 / $650.77 / $1,190.60	Professional		$327.66	$650.77	$1,190.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.61 / $123.74 / $250.51	Professional	26	$81.61	$123.74	$250.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.14 / $513.57 / $1,027.78	Professional	TC	$242.14	$513.57	$1,027.78
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $288.54 / $512.42	Professional		$104.33	$288.54	$512.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $334.64 / $673.96 / $889.47	Professional		$334.64	$673.96	$889.47
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $99.53 / $198.50 / $260.27	Professional	26	$99.53	$198.50	$260.27
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $235.11 / $468.90 / $614.84	Professional	TC	$235.11	$468.90	$614.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $122.00 / $126.25	Professional		$118.93	$122.00	$126.25
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $593.12 / $746.48 / $746.48	Facility	26	$593.12	$746.48	$746.48
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $329.08 / $645.13 / $3,491.47	Professional		$329.08	$645.13	$3,491.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $82.14 / $132.44 / $657.14	Professional	26	$82.14	$132.44	$657.14
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $234.07 / $514.41 / $3,042.45	Professional	TC	$234.07	$514.41	$3,042.45
United Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $587.47 / $955.58	Professional		$317.85	$587.47	$955.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.25 / $114.72 / $232.99	Professional	26	$79.25	$114.72	$232.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $226.64 / $364.16 / $786.21	Professional	TC	$226.64	$364.16	$786.21