Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.35 / $96.36 / $200.97	Facility	26	$96.35	$96.36	$200.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $475.00 / $1,240.00	Professional		$202.93	$475.00	$1,240.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.37 / $128.16 / $315.82	Professional	26	$71.37	$128.16	$315.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.74 / $335.00 / $441.00	Professional	TC	$142.74	$335.00	$441.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $162.56 / $500.48 / $629.60	Facility	26	$162.56	$500.48	$629.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $475.08 / $2,916.35	Professional		$232.12	$475.08	$2,916.35
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $61.45 / $106.82 / $579.54	Professional	26	$61.45	$106.82	$579.54
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $158.78 / $338.91 / $2,539.44	Professional	TC	$158.78	$338.91	$2,539.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.67 / $128.77 / $173.90	Professional	26	$87.67	$128.77	$173.90
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $515.42 / $548.38 / $690.99	Professional	TC	$515.42	$548.38	$690.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $517.91 / $967.24	Professional		$240.48	$517.91	$967.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.66 / $107.00 / $214.41	Professional	26	$68.66	$107.00	$214.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.87 / $400.17 / $826.88	Professional	TC	$164.87	$400.17	$826.88
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $200.85 / $372.50	Professional		$87.98	$200.85	$372.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $486.06 / $637.33	Professional		$243.71	$486.06	$637.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.97 / $166.46 / $219.59	Professional	26	$83.97	$166.46	$219.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $159.74 / $318.58 / $417.74	Professional	TC	$159.74	$318.58	$417.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $133.32 / $214.80	Professional		$97.13	$133.32	$214.80
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $500.48 / $629.60 / $629.60	Facility	26	$500.48	$629.60	$629.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $503.38 / $2,916.35	Professional		$238.51	$503.38	$2,916.35
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $69.56 / $111.43 / $579.54	Professional	26	$69.56	$111.43	$579.54
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $159.22 / $414.64 / $2,539.44	Professional	TC	$159.22	$414.64	$2,539.44
United Facility/Professional Professional Modifier Low / Median / High Price $228.81 / $413.05 / $791.15	Professional		$228.81	$413.05	$791.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.00 / $94.89 / $185.99	Professional	26	$66.00	$94.89	$185.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $150.36 / $245.98 / $559.03	Professional	TC	$150.36	$245.98	$559.03