Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.63 / $44.63 / $168.05	Facility	26	$44.63	$44.63	$168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.49 / $350.17 / $622.37	Professional		$179.49	$350.17	$622.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.63 / $58.18 / $89.04	Professional	26	$44.63	$58.18	$89.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $137.32 / $266.42 / $365.88	Professional	TC	$137.32	$266.42	$365.88
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.33 / $414.72 / $522.72	Facility	26	$134.33	$414.72	$522.72
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $220.26 / $411.39 / $2,082.64	Professional		$220.26	$411.39	$2,082.64
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $54.77 / $86.90 / $381.41	Professional	26	$54.77	$86.90	$381.41
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $167.24 / $337.91 / $1,802.98	Professional	TC	$167.24	$337.91	$1,802.98
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.95 / $108.57 / $144.29	Professional	26	$64.95	$108.57	$144.29
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $362.77 / $362.77 / $495.41	Professional	TC	$362.77	$362.77	$495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.37 / $448.08 / $800.32	Professional		$232.37	$448.08	$800.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.00 / $86.10 / $175.42	Professional	26	$57.00	$86.10	$175.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $177.07 / $349.99 / $681.63	Professional	TC	$177.07	$349.99	$681.63
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $213.16 / $376.79	Professional		$73.03	$213.16	$376.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $482.32 / $636.25	Professional		$243.30	$482.32	$636.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.63 / $138.87 / $182.09	Professional	26	$69.63	$138.87	$182.09
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $173.67 / $346.37 / $454.16	Professional	TC	$173.67	$346.37	$454.16
Health New England Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $110.59 / $115.76	Professional		$110.59	$110.59	$115.76
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $414.72 / $522.72 / $522.72	Facility	26	$414.72	$522.72	$522.72
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $239.04 / $442.15 / $2,082.64	Professional		$239.04	$442.15	$2,082.64
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $57.72 / $92.02 / $381.41	Professional	26	$57.72	$92.02	$381.41
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $174.68 / $343.06 / $1,802.98	Professional	TC	$174.68	$343.06	$1,802.98
United Facility/Professional Professional Modifier Low / Median / High Price $236.75 / $329.80 / $672.12	Professional		$236.75	$329.80	$672.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.50 / $80.17 / $153.66	Professional	26	$57.50	$80.17	$153.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.68 / $278.55 / $512.38	Professional	TC	$174.68	$278.55	$512.38