Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $147.91 / $338.84	Facility	26	$67.61	$147.91	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $1,548.82	Professional		$239.88	$389.05	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $125.89 / $309.03	Professional	26	$75.86	$125.89	$309.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $239.88 / $562.34	Professional	TC	$169.82	$239.88	$562.34
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $346.74 / $794.33	Facility	26	$199.53	$346.74	$794.33
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $3,162.28	Professional		$275.42	$524.81	$3,162.28
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $120.23 / $660.69	Professional	26	$75.86	$120.23	$660.69
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $436.52 / $2,691.53	Professional	TC	$213.80	$436.52	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,148.15	Professional		$407.38	$707.95	$1,148.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $165.96 / $223.87	Professional	26	$97.72	$165.96	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $1,023.29	Professional		$269.15	$575.44	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $123.03 / $251.19	Professional	26	$74.13	$123.03	$251.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $446.68 / $776.25	Professional	TC	$199.53	$446.68	$776.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $346.74 / $691.83	Professional		$114.82	$346.74	$691.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $851.14	Professional		$331.13	$501.19	$851.14
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $131.83 / $234.42	Professional	26	$87.10	$131.83	$234.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $363.08 / $645.65	Professional	TC	$245.47	$363.08	$645.65
Health New England Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $489.78	Professional		$123.03	$138.04	$489.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $346.74 / $794.33	Facility	26	$199.53	$346.74	$794.33
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $3,162.28	Professional		$275.42	$524.81	$3,162.28
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $120.23 / $660.69	Professional	26	$77.62	$120.23	$660.69
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $407.38 / $2,691.53	Professional	TC	$213.80	$407.38	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $933.25	Professional		$331.13	$524.81	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $251.19	Professional	26	$85.11	$120.23	$251.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $380.19 / $724.44	Professional	TC	$239.88	$380.19	$724.44