Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $93.33 / $223.87	Facility	26	$43.65	$93.33	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $794.33	Professional		$134.90	$223.87	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $95.50 / $204.17	Professional	26	$51.29	$95.50	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $131.83 / $512.86	Professional	TC	$79.43	$131.83	$512.86
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $512.86 / $512.86	Facility	26	$131.83	$512.86	$512.86
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $1,621.81	Professional		$125.89	$251.19	$1,621.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $79.43 / $389.05	Professional	26	$48.98	$79.43	$389.05
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $177.83 / $1,659.59	Professional	TC	$87.10	$177.83	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $602.56	Professional		$213.80	$371.54	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $109.65 / $144.54	Professional	26	$64.57	$109.65	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $269.15 / $446.68	Professional		$120.23	$269.15	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $81.28 / $165.96	Professional	26	$47.86	$81.28	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $181.97 / $302.00	Professional	TC	$83.18	$181.97	$302.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $302.00	Professional		$74.13	$134.90	$302.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $407.38	Professional		$147.91	$229.09	$407.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $83.18 / $154.88	Professional	26	$56.23	$83.18	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $134.90 / $245.47	Professional	TC	$89.13	$134.90	$245.47
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $457.09	Professional		$81.28	$100.00	$457.09
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $131.83 / $512.86 / $512.86	Facility	26	$131.83	$512.86	$512.86
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $1,621.81	Professional		$125.89	$251.19	$1,621.81
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $79.43 / $389.05	Professional	26	$50.12	$79.43	$389.05
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $177.83 / $1,659.59	Professional	TC	$85.11	$177.83	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $436.52	Professional		$151.36	$251.19	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $165.96	Professional	26	$54.95	$79.43	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $144.54 / $309.03	Professional	TC	$91.20	$144.54	$309.03