Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.78 / $24.73 / $73.44	Facility	26	$19.78	$24.73	$73.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $102.31 / $220.59	Professional		$82.81	$102.31	$220.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.78 / $26.09 / $79.92	Professional	26	$19.78	$26.09	$79.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.92 / $82.53 / $182.37	Professional	TC	$59.92	$82.53	$182.37
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $62.52 / $122.88	Facility	26	$59.27	$62.52	$122.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $184.00 / $841.81	Professional		$94.54	$184.00	$841.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $39.36 / $205.77	Professional	26	$23.61	$39.36	$205.77
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $79.12 / $163.19 / $680.78	Professional	TC	$79.12	$163.19	$680.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.42 / $47.83 / $62.25	Professional	26	$36.42	$47.83	$62.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $146.55 / $201.78 / $684.02	Professional	TC	$146.55	$201.78	$684.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $197.54 / $414.31	Professional		$96.59	$197.54	$414.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.74 / $42.92 / $75.04	Professional	26	$26.74	$42.92	$75.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $72.77 / $159.41 / $338.06	Professional	TC	$72.77	$159.41	$338.06
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $142.49 / $229.71	Professional		$32.15	$142.49	$229.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $296.37 / $390.96	Professional		$149.50	$296.37	$390.96
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $30.72 / $61.27 / $80.34	Professional	26	$30.72	$61.27	$80.34
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $118.78 / $236.89 / $310.62	Professional	TC	$118.78	$236.89	$310.62
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $47.92 / $201.45	Professional		$36.53	$47.92	$201.45
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $122.88 / $122.88	Facility	26	$59.27	$122.88	$122.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $184.00 / $841.81	Professional		$92.63	$184.00	$841.81
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $40.79 / $205.77	Professional	26	$25.72	$40.79	$205.77
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $71.59 / $163.19 / $680.78	Professional	TC	$71.59	$163.19	$680.78
Tufts Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $89.76 / $207.00	Professional		$80.53	$89.76	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $157.22 / $312.83	Professional		$85.56	$157.22	$312.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.61 / $33.79 / $60.35	Professional	26	$23.61	$33.79	$60.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.93 / $137.78 / $239.40	Professional	TC	$65.93	$137.78	$239.40