Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.79 / $40.79 / $151.22	Facility	26	$40.79	$40.79	$151.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $194.27 / $238.19	Professional		$107.61	$194.27	$238.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.04 / $56.52 / $156.72	Professional	26	$43.04	$56.52	$156.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.63 / $110.52 / $187.06	Professional	TC	$54.63	$110.52	$187.06
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $152.75 / $160.44 / $317.02	Facility	26	$152.75	$160.44	$317.02
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $136.30 / $302.38 / $3,190.96	Professional		$136.30	$302.38	$3,190.96
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $95.59 / $636.41	Professional	26	$56.37	$95.59	$636.41
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $69.61 / $146.86 / $2,892.33	Professional	TC	$69.61	$146.86	$2,892.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $61.30 / $95.24	Professional		$37.38	$61.30	$95.24
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.76 / $124.97 / $166.08	Professional	26	$74.76	$124.97	$166.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $74.64 / $122.39 / $129.16	Professional	TC	$74.64	$122.39	$129.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $278.58 / $594.16	Professional		$136.91	$278.58	$594.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.99 / $98.21 / $193.69	Professional	26	$59.99	$98.21	$193.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $75.90 / $149.75 / $439.26	Professional	TC	$75.90	$149.75	$439.26
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $111.59 / $225.77	Professional		$75.90	$111.59	$225.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $316.75 / $432.23	Professional		$161.71	$316.75	$432.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $81.92 / $164.99 / $214.23	Professional	26	$81.92	$164.99	$214.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $72.09 / $143.78 / $188.52	Professional	TC	$72.09	$143.78	$188.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $112.91 / $197.06	Professional		$101.61	$112.91	$197.06
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $155.03 / $317.02 / $317.02	Facility	26	$155.03	$317.02	$317.02
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $403.01 / $3,190.96	Professional		$150.58	$403.01	$3,190.96
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $59.61 / $102.86 / $636.41	Professional	26	$59.61	$102.86	$636.41
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $71.90 / $175.95 / $2,892.33	Professional	TC	$71.90	$175.95	$2,892.33
United Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $270.39 / $641.59	Professional		$146.34	$270.39	$641.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $87.62 / $161.77	Professional	26	$56.37	$87.62	$161.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.65 / $104.48 / $489.84	Professional	TC	$69.65	$104.48	$489.84