Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $44.67 / $181.97	Facility	26	$12.02	$44.67	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $363.08	Professional		$70.79	$112.20	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $46.77 / $190.55	Professional	26	$16.60	$46.77	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $70.79 / $302.00	Professional	TC	$41.69	$70.79	$302.00
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $288.40 / $288.40	Facility	26	$107.15	$288.40	$288.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $3,019.95	Professional		$87.10	$204.17	$3,019.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $60.26 / $426.58	Professional	26	$20.42	$60.26	$426.58
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $117.49 / $2,884.03	Professional	TC	$53.70	$117.49	$2,884.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $87.10 / $117.49	Professional	26	$51.29	$87.10	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $562.34	Professional		$75.86	$181.97	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $43.65 / $120.23	Professional	26	$19.95	$43.65	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $123.03 / $524.81	Professional	TC	$53.70	$123.03	$524.81
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $208.93	Professional		$53.70	$95.50	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $295.12	Professional		$72.44	$162.18	$295.12
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $75.86 / $134.90	Professional	26	$53.70	$75.86	$134.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $85.11 / $158.49	Professional	TC	$56.23	$85.11	$158.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $245.47	Professional		$141.25	$245.47	$245.47
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $288.40 / $288.40	Facility	26	$107.15	$288.40	$288.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $3,019.95	Professional		$89.13	$199.53	$3,019.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $60.26 / $426.58	Professional	26	$21.38	$60.26	$426.58
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $114.82 / $2,884.03	Professional	TC	$53.70	$114.82	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $575.44	Professional		$109.65	$177.83	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $58.88 / $120.23	Professional	26	$19.05	$58.88	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $97.72 / $478.63	Professional	TC	$60.26	$97.72	$478.63