Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $95.50 / $229.09	Facility	26	$43.65	$95.50	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $707.95	Professional		$177.83	$275.42	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $70.79 / $190.55	Professional	26	$51.29	$70.79	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $213.80 / $537.03	Professional	TC	$134.90	$213.80	$537.03
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $524.81 / $524.81	Facility	26	$134.90	$524.81	$524.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $2,089.30	Professional		$190.55	$354.81	$2,089.30
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $79.43 / $380.19	Professional	26	$50.12	$79.43	$380.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $281.84 / $1,819.70	Professional	TC	$151.36	$281.84	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $954.99	Professional		$316.23	$549.54	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $112.20 / $147.91	Professional	26	$64.57	$112.20	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $416.87 / $741.31	Professional		$204.17	$416.87	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $83.18 / $169.82	Professional	26	$48.98	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $338.84 / $602.56	Professional	TC	$162.18	$338.84	$602.56
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $457.09	Professional		$75.86	$218.78	$457.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $575.44	Professional		$169.82	$302.00	$575.44
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $87.10 / $154.88	Professional	26	$57.54	$87.10	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $257.04 / $436.52	Professional	TC	$169.82	$257.04	$436.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $524.81 / $524.81	Facility	26	$134.90	$524.81	$524.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $2,089.30	Professional		$190.55	$354.81	$2,089.30
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $79.43 / $380.19	Professional	26	$51.29	$79.43	$380.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $281.84 / $1,819.70	Professional	TC	$151.36	$281.84	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $645.65	Professional		$234.42	$363.08	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $169.82	Professional	26	$56.23	$79.43	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $275.42 / $524.81	Professional	TC	$169.82	$275.42	$524.81