Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.21 / $27.21 / $100.50	Facility	26	$27.21	$27.21	$100.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $106.94 / $369.53	Professional		$85.58	$106.94	$369.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.21 / $37.11 / $152.25	Professional	26	$27.21	$37.11	$152.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $119.03 / $288.60 / $317.07	Professional	50	$119.03	$288.60	$317.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.37 / $70.84 / $131.04	Professional	TC	$58.37	$70.84	$131.04
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $81.72 / $85.84 / $170.67	Facility	26	$81.72	$85.84	$170.67
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $155.02 / $667.61	Professional		$101.63	$155.02	$667.61
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $32.29 / $50.66 / $219.03	Professional	26	$32.29	$50.66	$219.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $70.00 / $105.54 / $448.58	Professional	TC	$70.00	$105.54	$448.58
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.08 / $65.14 / $88.24	Professional	26	$46.08	$65.14	$88.24
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.26 / $137.24 / $137.24	Professional	50	$114.26	$137.24	$137.24
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $76.17 / $76.17 / $91.49	Professional	TC	$76.17	$76.17	$91.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $170.90 / $330.04	Professional		$103.35	$170.90	$330.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.01 / $56.01 / $102.95	Professional	26	$36.01	$56.01	$102.95
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $67.23 / $116.30 / $228.04	Professional	TC	$67.23	$116.30	$228.04
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $101.54 / $187.48	Professional		$44.60	$101.54	$187.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $237.16 / $319.49	Professional		$125.34	$237.16	$319.49
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $84.45 / $111.40	Professional	26	$42.60	$84.45	$111.40
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $82.74 / $164.02 / $216.37	Professional	TC	$82.74	$164.02	$216.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $141.76 / $224.00	Professional		$33.22	$141.76	$224.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $82.13 / $170.67 / $170.67	Facility	26	$82.13	$170.67	$170.67
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $150.61 / $667.61	Professional		$107.08	$150.61	$667.61
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $34.60 / $48.32 / $219.03	Professional	26	$34.60	$48.32	$219.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $72.31 / $102.54 / $448.58	Professional	TC	$72.31	$102.54	$448.58
Tufts Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $117.65 / $209.16	Professional		$87.45	$117.65	$209.16
United Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $150.61 / $313.70	Professional		$105.93	$150.61	$313.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.47 / $48.07 / $104.29	Professional	26	$34.47	$48.07	$104.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.81 / $98.27 / $207.89	Professional	TC	$71.81	$98.27	$207.89