Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $81.28 / $323.59	Facility	26	$64.57	$81.28	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $870.96	Professional		$223.87	$295.12	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $114.82 / $371.54	Professional	26	$72.44	$114.82	$371.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $204.17 / $416.87	Professional	TC	$144.54	$204.17	$416.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $331.13 / $758.58	Facility	26	$190.55	$331.13	$758.58
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $1,513.56	Professional		$208.93	$346.74	$1,513.56
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $107.15 / $524.81	Professional	26	$70.79	$107.15	$524.81
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $234.42 / $1,000.00	Professional	TC	$141.25	$234.42	$1,000.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $158.49 / $213.80	Professional	26	$93.33	$158.49	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $758.58	Professional		$239.88	$371.54	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $245.47	Professional	26	$70.79	$114.82	$245.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $257.04 / $512.86	Professional	TC	$158.49	$257.04	$512.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $512.86	Professional		$107.15	$245.47	$512.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $660.69	Professional		$251.19	$380.19	$660.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $123.03 / $218.78	Professional	26	$83.18	$123.03	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $245.47 / $416.87	Professional	TC	$162.18	$245.47	$416.87
Health New England Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $186.21	Professional		$114.82	$120.23	$186.21
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $190.55 / $331.13 / $758.58	Facility	26	$190.55	$331.13	$758.58
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $1,513.56	Professional		$208.93	$346.74	$1,513.56
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $107.15 / $524.81	Professional	26	$70.79	$107.15	$524.81
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $234.42 / $1,000.00	Professional	TC	$141.25	$234.42	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $707.95	Professional		$251.19	$354.81	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $114.82 / $239.88	Professional	26	$79.43	$114.82	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $239.88 / $467.74	Professional	TC	$165.96	$239.88	$467.74