Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.64 / $37.65 / $138.18	Facility	26	$37.64	$37.65	$138.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $145.76 / $521.39	Professional		$97.48	$145.76	$521.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $63.78 / $156.56	Professional	26	$37.65	$63.78	$156.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $59.83 / $84.76 / $283.33	Professional	TC	$59.83	$84.76	$283.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $110.23 / $115.79 / $230.61	Facility	26	$110.23	$115.79	$230.61
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $181.54 / $757.96	Professional		$107.83	$181.54	$757.96
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $42.79 / $72.25 / $322.45	Professional	26	$42.79	$72.25	$322.45
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $73.62 / $118.68 / $484.95	Professional	TC	$73.62	$118.68	$484.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.81 / $89.56 / $119.03	Professional	26	$63.81	$89.56	$119.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $95.06 / $145.94 / $192.72	Professional	TC	$95.06	$145.94	$192.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $214.41 / $374.50	Professional		$125.94	$214.41	$374.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.94 / $76.63 / $138.97	Professional	26	$46.94	$76.63	$138.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $80.76 / $135.47 / $235.53	Professional	TC	$80.76	$135.47	$235.53
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $109.36 / $213.53	Professional		$60.19	$109.36	$213.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $271.18 / $364.38	Professional		$142.94	$271.18	$364.38
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $112.27 / $146.16	Professional	26	$57.34	$112.27	$146.16
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $85.61 / $168.99 / $223.88	Professional	TC	$85.61	$168.99	$223.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $139.00 / $270.33	Professional		$74.08	$139.00	$270.33
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $111.13 / $230.61 / $230.61	Facility	26	$111.13	$230.61	$230.61
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $178.86 / $757.96	Professional		$123.40	$178.86	$757.96
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $45.62 / $69.23 / $322.45	Professional	26	$45.62	$69.23	$322.45
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $75.97 / $117.33 / $484.95	Professional	TC	$75.97	$117.33	$484.95
Tufts Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $139.76 / $234.54	Professional		$101.42	$139.76	$234.54
United Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $162.59 / $324.31	Professional		$116.34	$162.59	$324.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.25 / $65.78 / $141.06	Professional	26	$45.25	$65.78	$141.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.14 / $101.99 / $210.53	Professional	TC	$75.14	$101.99	$210.53