Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.85 / $51.85 / $193.19	Facility	26	$51.85	$51.85	$193.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $381.78 / $1,195.00	Professional		$207.73	$381.78	$1,195.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.85 / $68.38 / $204.54	Professional	26	$51.85	$68.38	$204.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.88 / $300.30 / $468.94	Professional	TC	$155.88	$300.30	$468.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $154.77 / $478.24 / $602.48	Facility	26	$154.77	$478.24	$602.48
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $484.51 / $2,385.40	Professional		$274.86	$484.51	$2,385.40
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $62.96 / $100.55 / $533.30	Professional	26	$62.96	$100.55	$533.30
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $208.71 / $419.91 / $2,603.00	Professional	TC	$208.71	$419.91	$2,603.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.39 / $673.35 / $1,103.19	Professional		$451.39	$673.35	$1,103.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.89 / $123.19 / $166.37	Professional	26	$74.89	$123.19	$166.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.33 / $501.09 / $935.46	Professional		$268.33	$501.09	$935.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.70 / $99.27 / $201.80	Professional	26	$65.70	$99.27	$201.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.25 / $402.55 / $781.89	Professional	TC	$243.25	$402.55	$781.89
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $294.83 / $523.92	Professional		$84.19	$294.83	$523.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $323.17 / $640.65 / $845.12	Professional		$323.17	$640.65	$845.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $80.28 / $160.11 / $209.94	Professional	26	$80.28	$160.11	$209.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $242.89 / $484.42 / $635.17	Professional	TC	$242.89	$484.42	$635.17
Health New England Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $127.91 / $433.60	Professional		$95.45	$127.91	$433.60
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $478.24 / $602.48 / $602.48	Facility	26	$478.24	$602.48	$602.48
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $509.94 / $2,385.40	Professional		$298.95	$509.94	$2,385.40
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $66.56 / $106.03 / $533.30	Professional	26	$66.56	$106.03	$533.30
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $218.98 / $426.54 / $2,603.00	Professional	TC	$218.98	$426.54	$2,603.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.30 / $412.15 / $723.14	Professional		$283.30	$412.15	$723.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.14 / $88.86 / $163.66	Professional	26	$64.14	$88.86	$163.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $211.48 / $317.45 / $620.17	Professional	TC	$211.48	$317.45	$620.17