Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.02 / $44.02 / $164.14	Facility	26	$44.02	$44.02	$164.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.95 / $223.90 / $375.74	Professional		$116.95	$223.90	$375.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.70 / $59.87 / $173.53	Professional	26	$46.70	$59.87	$173.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.92 / $155.88 / $250.31	Professional	TC	$72.92	$155.88	$250.31
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $131.99 / $407.44 / $513.44	Facility	26	$131.99	$407.44	$513.44
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $296.14 / $1,608.41	Professional		$145.97	$296.14	$1,608.41
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $53.45 / $85.39 / $386.35	Professional	26	$53.45	$85.39	$386.35
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $89.27 / $205.73 / $1,649.00	Professional	TC	$89.27	$205.73	$1,649.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.50 / $105.02 / $141.82	Professional	26	$71.50	$105.02	$141.82
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $212.98 / $282.39 / $435.80	Professional	TC	$212.98	$282.39	$435.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $304.13 / $513.57	Professional		$160.50	$304.13	$513.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.98 / $84.73 / $172.42	Professional	26	$55.98	$84.73	$172.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.71 / $194.56 / $401.53	Professional	TC	$100.71	$194.56	$401.53
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $133.71 / $259.33	Professional		$71.75	$133.71	$259.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.98 / $336.97 / $444.51	Professional		$169.98	$336.97	$444.51
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $68.40 / $136.41 / $178.87	Professional	26	$68.40	$136.41	$178.87
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $101.58 / $201.37 / $265.64	Professional	TC	$101.58	$201.37	$265.64
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $100.81 / $296.67	Professional		$81.33	$100.81	$296.67
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $407.44 / $513.44 / $513.44	Facility	26	$407.44	$513.44	$513.44
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $159.22 / $308.26 / $1,608.41	Professional		$159.22	$308.26	$1,608.41
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $56.71 / $90.43 / $386.35	Professional	26	$56.71	$90.43	$386.35
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $93.79 / $222.80 / $1,649.00	Professional	TC	$93.79	$222.80	$1,649.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.58 / $261.42 / $427.45	Professional		$151.58	$261.42	$427.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.35 / $73.19 / $139.47	Professional	26	$54.35	$73.19	$139.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $90.59 / $135.88 / $320.51	Professional	TC	$90.59	$135.88	$320.51