Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.28 / $26.70 / $74.26	Facility	26	$20.28	$26.70	$74.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $88.15 / $275.33	Professional		$53.77	$88.15	$275.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.28 / $29.06 / $98.08	Professional	26	$20.28	$29.06	$98.08
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.89 / $44.60 / $109.95	Professional	52	$26.89	$44.60	$109.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.97 / $61.58 / $98.98	Professional	TC	$28.97	$61.58	$98.98
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $64.12 / $67.34 / $132.47	Facility	26	$64.12	$67.34	$132.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $110.77 / $456.91	Professional		$63.60	$110.77	$456.91
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.48 / $41.84 / $265.83	Professional	26	$24.48	$41.84	$265.83
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.54 / $72.62 / $406.97	Professional	TC	$35.54	$72.62	$406.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.60 / $50.72 / $68.48	Professional	26	$38.60	$50.72	$68.48
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $18.37 / $35.69 / $80.61	Professional	52	$18.37	$35.69	$80.61
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $40.54 / $40.54 / $67.17	Professional	TC	$40.54	$40.54	$67.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $120.40 / $232.02	Professional		$72.05	$120.40	$232.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.12 / $41.53 / $80.81	Professional	26	$27.12	$41.53	$80.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.02 / $73.09 / $162.41	Professional	TC	$41.02	$73.09	$162.41
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $50.93 / $105.97	Professional		$33.45	$50.93	$105.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $133.13 / $185.72	Professional		$41.90	$133.13	$185.72
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $33.18 / $65.78 / $86.77	Professional	26	$33.18	$65.78	$86.77
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.09 / $75.19 / $98.85	Professional	TC	$38.09	$75.19	$98.85
Health New England Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $43.62 / $85.15	Professional		$39.14	$43.62	$85.15
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $64.51 / $132.47 / $132.47	Facility	26	$64.51	$132.47	$132.47
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $112.07 / $456.91	Professional		$73.50	$112.07	$456.91
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $24.93 / $41.43 / $265.83	Professional	26	$24.93	$41.43	$265.83
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $48.15 / $72.62 / $406.97	Professional	TC	$48.15	$72.62	$406.97
United Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $110.77 / $191.95	Professional		$71.27	$110.77	$191.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.38 / $36.59 / $72.92	Professional	26	$24.38	$36.59	$72.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.85 / $65.55 / $114.90	Professional	TC	$45.85	$65.55	$114.90