Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.06 / $41.62 / $95.65	Facility	26	$26.06	$41.62	$95.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $121.46 / $224.42	Professional		$101.02	$121.46	$224.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.06 / $37.43 / $100.58	Professional	26	$26.06	$37.43	$100.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.95 / $88.68 / $157.05	Professional	TC	$74.95	$88.68	$157.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $99.07 / $104.06 / $207.05	Facility	26	$99.07	$104.06	$207.05
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $200.38 / $927.52	Professional		$111.16	$200.38	$927.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $62.18 / $268.38	Professional	26	$34.65	$62.18	$268.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $79.75 / $153.27 / $659.08	Professional	TC	$79.75	$153.27	$659.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $39.60 / $53.47	Professional		$24.07	$39.60	$53.47
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.13 / $79.17 / $106.92	Professional	26	$48.13	$79.17	$106.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $225.84 / $456.97	Professional		$116.46	$225.84	$456.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.14 / $63.49 / $124.97	Professional	26	$37.14	$63.49	$124.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.09 / $168.59 / $329.01	Professional	TC	$79.09	$168.59	$329.01
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $141.43 / $254.79	Professional		$54.11	$141.43	$254.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $167.53 / $332.11 / $445.29	Professional		$167.53	$332.11	$445.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.61 / $102.31 / $134.97	Professional	26	$51.61	$102.31	$134.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $115.92 / $231.19 / $303.14	Professional	TC	$115.92	$231.19	$303.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $73.06 / $131.59	Professional		$59.70	$73.06	$131.59
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $100.12 / $207.05 / $207.05	Facility	26	$100.12	$207.05	$207.05
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $206.81 / $927.52	Professional		$120.96	$206.81	$927.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $36.33 / $66.68 / $268.38	Professional	26	$36.33	$66.68	$268.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $88.21 / $153.44 / $659.08	Professional	TC	$88.21	$153.44	$659.08
United Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $194.69 / $438.11	Professional		$113.90	$194.69	$438.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.32 / $55.43 / $106.17	Professional	26	$33.32	$55.43	$106.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $86.08 / $118.59 / $237.96	Professional	TC	$86.08	$118.59	$237.96