Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.97 / $53.86 / $160.27	Facility	26	$42.97	$53.86	$160.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $257.16 / $363.23	Professional		$173.71	$257.16	$363.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.97 / $58.49 / $169.35	Professional	26	$42.97	$58.49	$169.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $133.18 / $222.12 / $311.62	Professional	TC	$133.18	$222.12	$311.62
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 $215.86 / $350.41 / $1,657.60	Professional		$215.86	$350.41	$1,657.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $82.87 / $345.18	Professional	26	$52.12	$82.87	$345.18
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $163.06 / $292.92 / $1,366.92	Professional	TC	$163.06	$292.92	$1,366.92
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.20 / $104.16 / $159.21	Professional	26	$74.20	$104.16	$159.21
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $369.03 / $383.00 / $383.00	Professional	TC	$369.03	$383.00	$383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $383.55 / $680.04	Professional		$225.59	$383.55	$680.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $81.37 / $168.37	Professional	26	$54.63	$81.37	$168.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.09 / $297.07 / $541.63	Professional	TC	$181.09	$297.07	$541.63
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $223.73 / $394.27	Professional		$70.02	$223.73	$394.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $249.04 / $498.08 / $661.95	Professional		$249.04	$498.08	$661.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.76 / $132.34 / $174.58	Professional	26	$66.76	$132.34	$174.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $182.27 / $363.52 / $476.65	Professional	TC	$182.27	$363.52	$476.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $88.97 / $169.32	Professional		$79.38	$88.97	$169.32
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 $228.17 / $362.85 / $1,657.60	Professional		$228.17	$362.85	$1,657.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $55.34 / $88.28 / $345.18	Professional	26	$55.34	$88.28	$345.18
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $172.68 / $300.11 / $1,366.92	Professional	TC	$172.68	$300.11	$1,366.92
United Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $314.72 / $620.26	Professional		$225.92	$314.72	$620.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $76.54 / $199.48	Professional	26	$52.12	$76.54	$199.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.73 / $238.18 / $462.60	Professional	TC	$166.73	$238.18	$462.60