Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.63 / $90.32 / $188.50	Facility	26	$63.63	$90.32	$188.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.58 / $475.00 / $1,832.53	Professional		$197.58	$475.00	$1,832.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $127.50 / $320.54	Professional	26	$66.59	$127.50	$320.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,218.00 / $1,218.00 / $1,218.00	Professional	50	$1,218.00	$1,218.00	$1,218.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.87 / $166.15 / $300.00	Professional	52	$104.87	$166.15	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $168.55 / $313.31 / $812.00	Professional	TC	$168.55	$313.31	$812.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $151.74 / $466.08 / $586.88	Facility	26	$151.74	$466.08	$586.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $241.56 / $483.12 / $2,873.43	Professional		$241.56	$483.12	$2,873.43
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.78 / $98.52 / $542.85	Professional	26	$56.78	$98.52	$542.85
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $173.12 / $357.26 / $2,524.69	Professional	TC	$173.12	$357.26	$2,524.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.38 / $711.89 / $1,169.39	Professional		$548.38	$711.89	$1,169.39
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.05 / $122.11 / $162.28	Professional	26	$73.05	$122.11	$162.28
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $747.25 / $842.99 / $842.99	Professional	50	$747.25	$842.99	$842.99
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $51.60 / $282.94 / $525.02	Professional	52	$51.60	$282.94	$525.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.56 / $486.49 / $943.28	Professional		$241.56	$486.49	$943.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.09 / $98.34 / $200.06	Professional	26	$64.09	$98.34	$200.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $178.29 / $353.50 / $797.39	Professional	TC	$178.29	$353.50	$797.39
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $215.55 / $388.67	Professional		$82.04	$215.55	$388.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $253.95 / $511.46 / $664.10	Professional		$253.95	$511.46	$664.10
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $78.23 / $156.02 / $204.58	Professional	26	$78.23	$156.02	$204.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $175.72 / $351.44 / $459.53	Professional	TC	$175.72	$351.44	$459.53
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $122.26 / $485.79	Professional		$93.02	$122.26	$485.79
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $466.08 / $586.88 / $586.88	Facility	26	$466.08	$586.88	$586.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $243.51 / $517.05 / $2,873.43	Professional		$243.51	$517.05	$2,873.43
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $64.86 / $103.94 / $542.85	Professional	26	$64.86	$103.94	$542.85
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $168.88 / $412.19 / $2,524.69	Professional	TC	$168.88	$412.19	$2,524.69
Tufts Facility/Professional Professional Modifier Low / Median / High Price $273.77 / $364.41 / $535.26	Professional		$273.77	$364.41	$535.26
United Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $414.06 / $760.38	Professional		$233.50	$414.06	$760.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.57 / $90.99 / $167.40	Professional	26	$61.57	$90.99	$167.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $159.50 / $247.51 / $582.08	Professional	TC	$159.50	$247.51	$582.08