Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.63 / $89.80 / $187.43	Facility	26	$63.63	$89.80	$187.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.62 / $425.00 / $1,908.07	Professional		$187.62	$425.00	$1,908.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.59 / $140.00 / $401.96	Professional	26	$66.59	$140.00	$401.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $475.00 / $1,103.59 / $1,103.59	Professional	50	$475.00	$1,103.59	$1,103.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $104.71 / $165.89 / $300.00	Professional	52	$104.71	$165.89	$300.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.42 / $335.00 / $774.17	Professional	TC	$165.42	$335.00	$774.17
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $150.91 / $466.08 / $586.88	Facility	26	$150.91	$466.08	$586.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $482.32 / $2,873.43	Professional		$241.16	$482.32	$2,873.43
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.78 / $97.90 / $525.38	Professional	26	$56.78	$97.90	$525.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $172.73 / $357.26 / $2,524.69	Professional	TC	$172.73	$357.26	$2,524.69
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $92.99 / $122.78 / $162.28	Professional	26	$92.99	$122.78	$162.28
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $822.57 / $841.05 / $841.05	Professional	50	$822.57	$841.05	$841.05
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $51.60 / $289.43 / $525.02	Professional	52	$51.60	$289.43	$525.02
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $548.38 / $560.70 / $560.70	Professional	TC	$548.38	$560.70	$560.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $472.68 / $1,038.71	Professional		$241.16	$472.68	$1,038.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.78 / $96.83 / $198.99	Professional	26	$63.78	$96.83	$198.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $172.73 / $341.10 / $797.39	Professional	TC	$172.73	$341.10	$797.39
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $215.05 / $388.04	Professional		$82.04	$215.05	$388.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $510.63 / $663.03	Professional		$253.54	$510.63	$663.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $78.23 / $155.08 / $204.58	Professional	26	$78.23	$155.08	$204.58
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $175.31 / $350.62 / $458.45	Professional	TC	$175.31	$350.62	$458.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $140.33 / $513.40	Professional		$93.02	$140.33	$513.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $466.08 / $586.88 / $586.88	Facility	26	$466.08	$586.88	$586.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $242.42 / $517.05 / $2,873.43	Professional		$242.42	$517.05	$2,873.43
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $64.86 / $103.38 / $525.38	Professional	26	$64.86	$103.38	$525.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $168.87 / $412.19 / $2,524.69	Professional	TC	$168.87	$412.19	$2,524.69
Tufts Facility/Professional Professional Modifier Low / Median / High Price $152.58 / $326.95 / $505.93	Professional		$152.58	$326.95	$505.93
United Facility/Professional Professional Modifier Low / Median / High Price $232.42 / $413.41 / $787.79	Professional		$232.42	$413.41	$787.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.01 / $87.04 / $170.29	Professional	26	$61.01	$87.04	$170.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $163.13 / $244.69 / $582.08	Professional	TC	$163.13	$244.69	$582.08