Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $83.18 / $239.88	Facility	26	$46.77	$83.18	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $1,202.26	Professional		$229.09	$354.81	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $107.15 / $229.09	Professional	26	$57.54	$107.15	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $257.04 / $660.69	Professional	TC	$158.49	$257.04	$660.69
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $1,905.46	Professional		$213.80	$363.08	$1,905.46
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $446.68	Professional	26	$52.48	$85.11	$446.68
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $288.40 / $2,089.30	Professional	TC	$173.78	$288.40	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $870.96	Professional		$380.19	$660.69	$870.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $117.49 / $154.88	Professional	26	$67.61	$117.49	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $758.58	Professional		$204.17	$389.05	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $87.10 / $177.83	Professional	26	$51.29	$87.10	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $309.03 / $602.56	Professional	TC	$154.88	$309.03	$602.56
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $524.81	Professional		$79.43	$269.15	$524.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $660.69	Professional		$251.19	$389.05	$660.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $158.49	Professional	26	$60.26	$89.13	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $281.84 / $489.78	Professional	TC	$190.55	$281.84	$489.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $512.86	Professional		$85.11	$97.72	$512.86
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $549.54 / $549.54	Facility	26	$141.25	$549.54	$549.54
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $1,905.46	Professional		$213.80	$371.54	$1,905.46
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $85.11 / $446.68	Professional	26	$53.70	$85.11	$446.68
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $288.40 / $2,089.30	Professional	TC	$173.78	$288.40	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $707.95	Professional		$251.19	$363.08	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $85.11 / $177.83	Professional	26	$58.88	$85.11	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $281.84 / $537.03	Professional	TC	$186.21	$281.84	$537.03