Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.96 / $26.96 / $32.64	Facility	26	$26.96	$26.96	$32.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $106.09 / $177.66	Professional		$89.17	$106.09	$177.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $34.20 / $97.30	Professional	26	$26.96	$34.20	$97.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $62.21 / $73.65 / $124.83	Professional	TC	$62.21	$73.65	$124.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $77.70 / $81.63 / $162.16	Facility	26	$77.70	$81.63	$162.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $157.34 / $730.62	Professional		$107.61	$157.34	$730.62
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.82 / $46.45 / $210.44	Professional	26	$31.82	$46.45	$210.44
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $74.66 / $109.79 / $520.19	Professional	TC	$74.66	$109.79	$520.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $15.78 / $20.97	Professional		$9.44	$15.78	$20.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.80 / $63.12 / $83.88	Professional	26	$43.80	$63.12	$83.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $79.45 / $103.10 / $103.10	Professional	TC	$79.45	$103.10	$103.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $176.44 / $318.75	Professional		$109.31	$176.44	$318.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.29 / $50.58 / $94.73	Professional	26	$35.29	$50.58	$94.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.98 / $125.49 / $227.13	Professional	TC	$79.98	$125.49	$227.13
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $111.97 / $203.07	Professional		$42.43	$111.97	$203.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $132.71 / $264.68 / $357.34	Professional		$132.71	$264.68	$357.34
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $81.67 / $106.04	Professional	26	$40.54	$81.67	$106.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $92.16 / $183.80 / $241.01	Professional	TC	$92.16	$183.80	$241.01
Health New England Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $57.25 / $103.53	Professional		$47.73	$57.25	$103.53
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $78.25 / $162.16 / $162.16	Facility	26	$78.25	$162.16	$162.16
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $159.19 / $730.62	Professional		$110.43	$159.19	$730.62
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $33.94 / $47.55 / $210.44	Professional	26	$33.94	$47.55	$210.44
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $75.01 / $112.05 / $520.19	Professional	TC	$75.01	$112.05	$520.19
United Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $147.37 / $270.48	Professional		$107.61	$147.37	$270.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.22 / $46.20 / $99.87	Professional	26	$33.22	$46.20	$99.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.70 / $102.22 / $188.73	Professional	TC	$74.70	$102.22	$188.73