Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.00 / $46.28 / $138.06	Facility	26	$37.00	$46.28	$138.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $196.98 / $717.38	Professional		$104.01	$196.98	$717.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.00 / $54.12 / $165.87	Professional	26	$37.00	$54.12	$165.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.67 / $171.21 / $303.95	Professional	TC	$97.67	$171.21	$303.95
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $110.17 / $341.52 / $430.56	Facility	26	$110.17	$341.52	$430.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.18 / $290.45 / $1,420.14	Professional		$173.18	$290.45	$1,420.14
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $47.48 / $74.26 / $300.10	Professional	26	$47.48	$74.26	$300.10
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $125.84 / $241.26 / $1,137.09	Professional	TC	$125.84	$241.26	$1,137.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.53 / $88.06 / $118.92	Professional	26	$53.53	$88.06	$118.92
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $404.16 / $404.16 / $443.45	Professional	50	$404.16	$404.16	$443.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $269.44 / $269.44 / $295.63	Professional	TC	$269.44	$269.44	$295.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $314.07 / $571.14	Professional		$166.13	$314.07	$571.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.39 / $70.79 / $145.04	Professional	26	$47.39	$70.79	$145.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.75 / $234.39 / $423.92	Professional	TC	$141.75	$234.39	$423.92
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $173.42 / $310.06	Professional		$60.16	$173.42	$310.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $200.29 / $379.95 / $523.78	Professional		$200.29	$379.95	$523.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $113.67 / $149.94	Professional	26	$57.34	$113.67	$149.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $142.94 / $285.10 / $373.83	Professional	TC	$142.94	$285.10	$373.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $84.40 / $258.14	Professional		$68.18	$84.40	$258.14
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $341.52 / $430.56 / $430.56	Facility	26	$341.52	$430.56	$430.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $311.02 / $1,420.14	Professional		$190.50	$311.02	$1,420.14
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $48.83 / $76.88 / $300.10	Professional	26	$48.83	$76.88	$300.10
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $134.91 / $249.15 / $1,137.09	Professional	TC	$134.91	$249.15	$1,137.09
Tufts Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $207.52 / $599.04	Professional		$131.44	$207.52	$599.04
United Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $257.22 / $434.59	Professional		$181.53	$257.22	$434.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.59 / $66.23 / $119.99	Professional	26	$48.59	$66.23	$119.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $128.90 / $191.53 / $337.55	Professional	TC	$128.90	$191.53	$337.55