Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.27 / $64.27 / $238.58	Facility	26	$64.27	$64.27	$238.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.38 / $289.87 / $831.60	Professional		$224.38	$289.87	$831.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.27 / $85.87 / $242.20	Professional	26	$64.27	$85.87	$242.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $145.63 / $191.62 / $299.94	Professional	TC	$145.63	$191.62	$299.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $192.58 / $595.28 / $750.32	Facility	26	$192.58	$595.28	$750.32
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $371.70 / $1,515.48	Professional		$243.69	$371.70	$1,515.48
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $74.33 / $118.04 / $521.79	Professional	26	$74.33	$118.04	$521.79
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $159.71 / $250.82 / $993.68	Professional	TC	$159.71	$250.82	$993.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $76.70 / $103.59	Professional		$46.63	$76.70	$103.59
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.56 / $155.88 / $207.15	Professional	26	$116.56	$155.88	$207.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $431.57 / $779.02	Professional		$275.33	$431.57	$779.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.83 / $120.79 / $250.43	Professional	26	$81.83	$120.79	$250.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $182.84 / $291.41 / $533.97	Professional	TC	$182.84	$291.41	$533.97
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $231.66 / $434.44	Professional		$104.85	$231.66	$434.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $563.52 / $743.37	Professional		$284.26	$563.52	$743.37
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $99.94 / $199.32 / $261.35	Professional	26	$99.94	$199.32	$261.35
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $184.32 / $367.61 / $482.02	Professional	TC	$184.32	$367.61	$482.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $136.19 / $247.50	Professional		$115.13	$136.19	$247.50
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $595.28 / $750.32 / $750.32	Facility	26	$595.28	$750.32	$750.32
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $253.14 / $379.49 / $1,515.48	Professional		$253.14	$379.49	$1,515.48
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $82.24 / $119.01 / $521.79	Professional	26	$82.24	$119.01	$521.79
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $164.21 / $262.73 / $993.68	Professional	TC	$164.21	$262.73	$993.68
United Facility/Professional Professional Modifier Low / Median / High Price $252.99 / $349.16 / $716.94	Professional		$252.99	$349.16	$716.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.23 / $109.91 / $253.65	Professional	26	$77.23	$109.91	$253.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $164.21 / $246.32 / $605.77	Professional	TC	$164.21	$246.32	$605.77