Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.00 / $65.67 / $82.71	Facility	26	$37.00	$65.67	$82.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $174.35 / $404.06	Professional		$102.30	$174.35	$404.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.92 / $54.30 / $179.49	Professional	26	$42.92	$54.30	$179.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $88.45 / $171.21 / $452.63	Professional	TC	$88.45	$171.21	$452.63
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 $143.22 / $282.64 / $1,420.14	Professional		$143.22	$282.64	$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 $100.15 / $205.40 / $1,332.00	Professional	TC	$100.15	$205.40	$1,332.00
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 $325.79 / $325.79 / $445.11	Professional	50	$325.79	$325.79	$445.11
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $217.19 / $217.19 / $296.74	Professional	TC	$217.19	$217.19	$296.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $294.22 / $525.00	Professional		$152.82	$294.22	$525.00
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 $106.02 / $221.01 / $411.87	Professional	TC	$106.02	$221.01	$411.87
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $133.15 / $247.36	Professional		$60.16	$133.15	$247.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $320.73 / $423.10	Professional		$161.79	$320.73	$423.10
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 $104.45 / $208.32 / $273.14	Professional	TC	$104.45	$208.32	$273.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $99.53 / $286.10	Professional		$68.18	$99.53	$286.10
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 $157.88 / $291.25 / $1,420.14	Professional		$157.88	$291.25	$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 $106.10 / $207.48 / $1,332.00	Professional	TC	$106.10	$207.48	$1,332.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $74.19 / $119.73 / $227.00	Professional		$74.19	$119.73	$227.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $236.03 / $402.95	Professional		$157.35	$236.03	$402.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.59 / $66.23 / $127.01	Professional	26	$48.59	$66.23	$127.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $103.75 / $159.15 / $322.74	Professional	TC	$103.75	$159.15	$322.74