Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.72 / $46.72 / $173.58	Facility	26	$46.72	$46.72	$173.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $243.78 / $292.32	Professional		$145.71	$243.78	$292.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.72 / $64.62 / $138.49	Professional	26	$46.72	$64.62	$138.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $65.58 / $138.02 / $221.36	Professional	TC	$65.58	$138.02	$221.36
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $210.37 / $220.98 / $438.57	Facility	26	$210.37	$220.98	$438.57
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $379.39 / $3,234.28	Professional		$174.74	$379.39	$3,234.28
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $67.93 / $131.76 / $681.88	Professional	26	$67.93	$131.76	$681.88
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $80.40 / $177.06 / $2,892.33	Professional	TC	$80.40	$177.06	$2,892.33
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $122.49 / $171.92 / $228.48	Professional	26	$122.49	$171.92	$228.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $365.52 / $672.60	Professional		$175.05	$365.52	$672.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.66 / $130.79 / $267.02	Professional	26	$72.66	$130.79	$267.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.84 / $200.31 / $522.28	Professional	TC	$92.84	$200.31	$522.28
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $142.54 / $293.95	Professional		$95.25	$142.54	$293.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.48 / $397.84 / $530.22	Professional		$199.48	$397.84	$530.22
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $111.82 / $223.01 / $292.42	Professional	26	$111.82	$223.01	$292.42
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $87.65 / $173.02 / $229.21	Professional	TC	$87.65	$173.02	$229.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $146.15 / $231.21	Professional		$142.53	$146.15	$231.21
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $213.91 / $438.57 / $438.57	Facility	26	$213.91	$438.57	$438.57
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $189.65 / $511.37 / $3,234.28	Professional		$189.65	$511.37	$3,234.28
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $71.54 / $135.93 / $681.88	Professional	26	$71.54	$135.93	$681.88
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $86.28 / $220.56 / $2,892.33	Professional	TC	$86.28	$220.56	$2,892.33
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $285.25 / $653.11	Professional		$178.28	$285.25	$653.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.58 / $117.36 / $224.81	Professional	26	$67.58	$117.36	$224.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $142.88 / $496.21	Professional	TC	$80.48	$142.88	$496.21