Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.75 / $64.75 / $240.57	Facility	26	$64.75	$64.75	$240.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $222.53 / $564.38	Professional		$155.72	$222.53	$564.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.75 / $85.69 / $193.95	Professional	26	$64.75	$85.69	$193.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.97 / $129.34 / $240.00	Professional	TC	$90.97	$129.34	$240.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $193.91 / $598.00 / $752.64	Facility	26	$193.91	$598.00	$752.64
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $289.42 / $1,217.23	Professional		$177.26	$289.42	$1,217.23
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.72 / $119.49 / $521.24	Professional	26	$74.72	$119.49	$521.24
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $98.72 / $171.06 / $1,308.00	Professional	TC	$98.72	$171.06	$1,308.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.24 / $469.56 / $707.62	Professional		$325.24	$469.56	$707.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.85 / $154.00 / $207.98	Professional	26	$104.85	$154.00	$207.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $231.62 / $231.62 / $231.62	Professional	TC	$231.62	$231.62	$231.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.49 / $320.24 / $608.44	Professional		$220.49	$320.24	$608.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.62 / $122.89 / $251.51	Professional	26	$85.62	$122.89	$251.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $126.90 / $202.31 / $360.41	Professional	TC	$126.90	$202.31	$360.41
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $169.93 / $328.15	Professional		$105.20	$169.93	$328.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $228.97 / $456.66 / $598.78	Professional		$228.97	$456.66	$598.78
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $100.35 / $198.93 / $262.43	Professional	26	$100.35	$198.93	$262.43
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $128.61 / $256.50 / $336.33	Professional	TC	$128.61	$256.50	$336.33
Health New England Facility/Professional Professional Modifier Low / Median / High Price $127.86 / $199.96 / $273.00	Professional		$127.86	$199.96	$273.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $598.00 / $752.64 / $752.64	Facility	26	$598.00	$752.64	$752.64
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $289.64 / $1,217.23	Professional		$203.18	$289.64	$1,217.23
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $83.50 / $119.49 / $521.24	Professional	26	$83.50	$119.49	$521.24
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $175.92 / $1,308.00	Professional	TC	$114.04	$175.92	$1,308.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $204.16 / $364.00	Professional		$102.08	$204.16	$364.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.59 / $278.05 / $511.70	Professional		$201.59	$278.05	$511.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.58 / $115.16 / $236.47	Professional	26	$82.58	$115.16	$236.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.04 / $157.01 / $295.98	Professional	TC	$114.04	$157.01	$295.98