Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.96 / $53.86 / $160.27	Facility	26	$42.96	$53.86	$160.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $274.70 / $521.94	Professional		$163.33	$274.70	$521.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.58 / $58.92 / $175.45	Professional	26	$45.58	$58.92	$175.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $111.53 / $224.62 / $311.62	Professional	TC	$111.53	$224.62	$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 $184.64 / $339.13 / $1,657.60	Professional		$184.64	$339.13	$1,657.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $82.87 / $376.34	Professional	26	$52.12	$82.87	$376.34
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $133.76 / $270.07 / $1,371.93	Professional	TC	$133.76	$270.07	$1,371.93
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.31 / $104.16 / $176.15	Professional	26	$62.31	$104.16	$176.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $294.51 / $294.51 / $374.00	Professional	TC	$294.51	$294.51	$374.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.61 / $370.69 / $660.34	Professional		$197.61	$370.69	$660.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $81.93 / $168.37	Professional	26	$54.63	$81.93	$168.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.72 / $276.20 / $512.92	Professional	TC	$143.72	$276.20	$512.92
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $174.23 / $317.74	Professional		$70.02	$174.23	$317.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $207.67 / $418.25 / $543.08	Professional		$207.67	$418.25	$543.08
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $66.76 / $133.15 / $174.58	Professional	26	$66.76	$133.15	$174.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $140.90 / $281.01 / $368.47	Professional	TC	$140.90	$281.01	$368.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $93.54 / $164.38	Professional		$79.38	$93.54	$164.38
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 $197.89 / $354.04 / $1,657.60	Professional		$197.89	$354.04	$1,657.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $55.34 / $88.29 / $376.34	Professional	26	$55.34	$88.29	$376.34
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $139.80 / $278.50 / $1,371.93	Professional	TC	$139.80	$278.50	$1,371.93
United Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $272.95 / $493.98	Professional		$196.69	$272.95	$493.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.12 / $73.34 / $136.13	Professional	26	$52.12	$73.34	$136.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $137.50 / $196.41 / $404.59	Professional	TC	$137.50	$196.41	$404.59