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 $66.95 / $80.50 / $133.22	Professional		$66.95	$80.50	$133.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.96 / $34.57 / $97.30	Professional	26	$26.96	$34.57	$97.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.01 / $47.97 / $80.40	Professional	TC	$40.01	$47.97	$80.40
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 $80.17 / $118.16 / $546.16	Professional		$80.17	$118.16	$546.16
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 $48.00 / $70.61 / $335.78	Professional	TC	$48.00	$70.61	$335.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $31.06 / $41.94	Professional		$18.88	$31.06	$41.94
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.76 / $62.12 / $83.88	Professional	26	$37.76	$62.12	$83.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $51.07 / $66.45 / $66.45	Professional	TC	$51.07	$66.45	$66.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $131.91 / $237.21	Professional		$82.95	$131.91	$237.21
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 $51.50 / $80.78 / $145.59	Professional	TC	$51.50	$80.78	$145.59
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $78.12 / $149.04	Professional		$42.43	$78.12	$149.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $189.10 / $261.35	Professional		$99.94	$189.10	$261.35
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.54 / $80.87 / $106.04	Professional	26	$40.54	$80.87	$106.04
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $59.39 / $118.45 / $155.31	Professional	TC	$59.39	$118.45	$155.31
Health New England Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $58.73 / $104.25	Professional		$47.73	$58.73	$104.25
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 $83.73 / $119.01 / $546.16	Professional		$83.73	$119.01	$546.16
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 $48.22 / $72.00 / $335.78	Professional	TC	$48.22	$72.00	$335.78
United Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $110.02 / $197.73	Professional		$82.64	$110.02	$197.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.27 / $46.20 / $82.13	Professional	26	$33.27	$46.20	$82.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.00 / $67.73 / $118.54	Professional	TC	$48.00	$67.73	$118.54