Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.76 / $42.76 / $51.20	Facility	26	$42.76	$42.76	$51.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.18 / $215.98 / $363.48	Professional		$186.18	$215.98	$363.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.06 / $50.51 / $70.14	Professional	26	$42.06	$50.51	$70.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.41 / $162.34 / $208.75	Professional	TC	$131.41	$162.34	$208.75
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $122.53 / $213.56 / $254.79	Facility	26	$122.53	$213.56	$254.79
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $329.56 / $1,374.92	Professional		$236.03	$329.56	$1,374.92
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $47.60 / $74.13 / $330.16	Professional	26	$47.60	$74.13	$330.16
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $180.46 / $259.11 / $1,044.76	Professional	TC	$180.46	$259.11	$1,044.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $34.36 / $64.44	Professional		$20.10	$34.36	$64.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.24 / $97.45 / $151.37	Professional	26	$59.24	$97.45	$151.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $192.21 / $600.79 / $811.98	Professional	TC	$192.21	$600.79	$811.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $362.77 / $692.02	Professional		$248.68	$362.77	$692.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.42 / $77.89 / $160.28	Professional	26	$54.42	$77.89	$160.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $185.08 / $268.95 / $531.74	Professional	TC	$185.08	$268.95	$531.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $227.25 / $394.12	Professional		$66.56	$227.25	$394.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $500.74 / $650.19	Professional		$248.63	$500.74	$650.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $63.49 / $126.62 / $166.03	Professional	26	$63.49	$126.62	$166.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $185.14 / $369.24 / $484.16	Professional	TC	$185.14	$369.24	$484.16
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $122.98 / $254.79 / $254.79	Facility	26	$122.98	$254.79	$254.79
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $231.57 / $329.56 / $1,374.92	Professional		$231.57	$329.56	$1,374.92
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $52.60 / $75.61 / $330.16	Professional	26	$52.60	$75.61	$330.16
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $179.01 / $255.72 / $1,044.76	Professional	TC	$179.01	$255.72	$1,044.76
United Facility/Professional Professional Modifier Low / Median / High Price $229.17 / $311.98 / $588.59	Professional		$229.17	$311.98	$588.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.85 / $73.84 / $131.05	Professional	26	$52.85	$73.84	$131.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.01 / $247.02 / $452.27	Professional	TC	$179.01	$247.02	$452.27