Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.22 / $59.11 / $175.95	Facility	26	$47.22	$59.11	$175.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $316.44 / $945.11	Professional		$182.44	$316.44	$945.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $64.54 / $193.68	Professional	26	$51.30	$64.54	$193.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $135.22 / $254.42 / $408.74	Professional	TC	$135.22	$254.42	$408.74
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $141.36 / $436.88 / $549.76	Facility	26	$141.36	$436.88	$549.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $243.73 / $399.15 / $1,902.16	Professional		$243.73	$399.15	$1,902.16
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $57.36 / $91.45 / $444.14	Professional	26	$57.36	$91.45	$444.14
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $184.10 / $338.90 / $2,104.00	Professional	TC	$184.10	$338.90	$2,104.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.39 / $114.32 / $151.93	Professional	26	$68.39	$114.32	$151.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $412.62 / $450.40 / $905.67	Professional	TC	$412.62	$450.40	$905.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $429.16 / $798.01	Professional		$272.77	$429.16	$798.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.95 / $90.31 / $183.56	Professional	26	$59.95	$90.31	$183.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $211.06 / $330.11 / $643.07	Professional	TC	$211.06	$330.11	$643.07
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $260.01 / $463.27	Professional		$76.84	$260.01	$463.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $570.02 / $751.95	Professional		$287.54	$570.02	$751.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.31 / $146.22 / $191.74	Professional	26	$73.31	$146.22	$191.74
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $214.22 / $431.44 / $560.21	Professional	TC	$214.22	$431.44	$560.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $116.00 / $493.85	Professional		$87.17	$116.00	$493.85
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $436.88 / $549.76 / $549.76	Facility	26	$436.88	$549.76	$549.76
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $251.18 / $416.24 / $1,902.16	Professional		$251.18	$416.24	$1,902.16
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $60.74 / $96.89 / $444.14	Professional	26	$60.74	$96.89	$444.14
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $192.50 / $344.07 / $2,104.00	Professional	TC	$192.50	$344.07	$2,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $350.02 / $636.90	Professional		$250.93	$350.02	$636.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.53 / $84.92 / $218.95	Professional	26	$60.53	$84.92	$218.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $185.86 / $272.89 / $545.20	Professional	TC	$185.86	$272.89	$545.20