Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $75.86 / $218.78	Facility	26	$41.69	$75.86	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $676.08	Professional		$117.49	$208.93	$676.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $114.82 / $275.42	Professional	26	$52.48	$114.82	$275.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $186.21 / $426.58	Professional	TC	$114.82	$186.21	$426.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $501.19 / $501.19	Facility	26	$128.82	$501.19	$501.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $1,659.59	Professional		$158.49	$295.12	$1,659.59
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $75.86 / $380.19	Professional	26	$47.86	$75.86	$380.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $223.87 / $1,380.38	Professional	TC	$123.03	$223.87	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $467.74 / $776.25	Professional		$269.15	$467.74	$776.25
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $107.15 / $141.25	Professional	26	$61.66	$107.15	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $616.60	Professional		$169.82	$346.74	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $79.43 / $162.18	Professional	26	$46.77	$79.43	$162.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $269.15 / $467.74	Professional	TC	$125.89	$269.15	$467.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $177.83 / $380.19	Professional		$72.44	$177.83	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $501.19	Professional		$181.97	$281.84	$501.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $81.28 / $147.91	Professional	26	$54.95	$81.28	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $338.84	Professional	TC	$131.83	$190.55	$338.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $112.20	Professional		$77.62	$89.13	$112.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $501.19 / $501.19	Facility	26	$128.82	$501.19	$501.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $1,659.59	Professional		$158.49	$295.12	$1,659.59
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $75.86 / $380.19	Professional	26	$48.98	$75.86	$380.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $223.87 / $1,380.38	Professional	TC	$120.23	$223.87	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $549.54	Professional		$194.98	$295.12	$549.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $162.18	Professional	26	$52.48	$75.86	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $218.78 / $407.38	Professional	TC	$134.90	$218.78	$407.38