Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.20 / $62.88 / $135.12	Facility	26	$36.20	$62.88	$135.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $145.97 / $193.81	Professional		$84.38	$145.97	$193.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.20 / $46.88 / $79.18	Professional	26	$36.20	$46.88	$79.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $93.15 / $136.25	Professional	TC	$48.18	$93.15	$136.25
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $105.66 / $327.27 / $411.36	Facility	26	$105.66	$327.27	$411.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $231.22 / $1,055.73	Professional		$147.13	$231.22	$1,055.73
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $43.94 / $69.22 / $287.12	Professional	26	$43.94	$69.22	$287.12
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $106.63 / $176.22 / $803.30	Professional	TC	$106.63	$176.22	$803.30
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.72 / $85.22 / $113.25	Professional	26	$60.72	$85.22	$113.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $173.11 / $222.27 / $435.80	Professional	TC	$173.11	$222.27	$435.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $243.91 / $443.27	Professional		$134.43	$243.91	$443.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $67.58 / $139.53	Professional	26	$45.06	$67.58	$139.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.68 / $174.86 / $329.11	Professional	TC	$106.68	$174.86	$329.11
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $134.69 / $246.30	Professional		$57.41	$134.69	$246.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $163.02 / $309.25 / $426.31	Professional		$163.02	$309.25	$426.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $54.89 / $108.81 / $143.54	Professional	26	$54.89	$108.81	$143.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $108.13 / $216.26 / $282.77	Professional	TC	$108.13	$216.26	$282.77
Health New England Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $71.04 / $100.51	Professional		$69.28	$71.04	$100.51
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $327.27 / $411.36 / $411.36	Facility	26	$327.27	$411.36	$411.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $235.01 / $1,055.73	Professional		$147.13	$235.01	$1,055.73
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $45.78 / $72.56 / $287.12	Professional	26	$45.78	$72.56	$287.12
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $100.89 / $175.92 / $803.30	Professional	TC	$100.89	$175.92	$803.30
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $202.94 / $360.18	Professional		$146.88	$202.94	$360.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.56 / $59.33 / $111.95	Professional	26	$44.56	$59.33	$111.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.44 / $139.16 / $285.75	Professional	TC	$97.44	$139.16	$285.75