Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $208.93	Facility	26	$41.69	$41.69	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $831.76	Professional		$173.78	$234.42	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $56.23 / $199.53	Professional	26	$41.69	$56.23	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $162.18 / $380.19	Professional	TC	$125.89	$162.18	$380.19
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $213.80 / $331.13	Facility	26	$123.03	$213.80	$331.13
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $891.25	Professional		$234.42	$309.03	$891.25
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $69.18 / $213.80	Professional	26	$44.67	$69.18	$213.80
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $251.19 / $707.95	Professional	TC	$177.83	$251.19	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $954.99	Professional		$426.58	$630.96	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $102.33 / $134.90	Professional	26	$58.88	$102.33	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $676.08	Professional		$199.53	$338.84	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $75.86 / $154.88	Professional	26	$44.67	$75.86	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $257.04 / $512.86	Professional	TC	$151.36	$257.04	$512.86
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $234.42 / $446.68	Professional		$69.18	$234.42	$446.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $588.84	Professional		$229.09	$331.13	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $79.43 / $141.25	Professional	26	$53.70	$79.43	$141.25
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $239.88 / $416.87	Professional	TC	$165.96	$239.88	$416.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $213.80 / $331.13	Facility	26	$123.03	$213.80	$331.13
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $933.25	Professional		$234.42	$316.23	$933.25
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $70.79 / $331.13	Professional	26	$44.67	$70.79	$331.13
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $251.19 / $1,047.13	Professional	TC	$177.83	$251.19	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $616.60	Professional		$229.09	$323.59	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $74.13 / $151.36	Professional	26	$52.48	$74.13	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $245.47 / $467.74	Professional	TC	$177.83	$245.47	$467.74