Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.64 / $46.64 / $138.97	Facility	26	$37.64	$46.64	$138.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $204.25 / $564.45	Professional		$112.61	$204.25	$564.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.65 / $56.34 / $156.56	Professional	26	$37.65	$56.34	$156.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.95 / $99.56 / $222.30	Professional	TC	$74.95	$99.56	$222.30
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $52.40 / $116.68 / $232.47	Facility	26	$52.40	$116.68	$232.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $205.76 / $872.98	Professional		$123.60	$205.76	$872.98
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $43.28 / $74.01 / $298.50	Professional	26	$43.28	$74.01	$298.50
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $84.55 / $148.65 / $574.48	Professional	TC	$84.55	$148.65	$574.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.49 / $90.28 / $119.98	Professional	26	$60.49	$90.28	$119.98
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $106.08 / $162.88 / $210.87	Professional	TC	$106.08	$162.88	$210.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $231.58 / $431.17	Professional		$139.25	$231.58	$431.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.28 / $76.16 / $140.07	Professional	26	$47.28	$76.16	$140.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $93.43 / $163.69 / $293.63	Professional	TC	$93.43	$163.69	$293.63
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $131.12 / $246.30	Professional		$60.63	$131.12	$246.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $310.73 / $417.91	Professional		$164.66	$310.73	$417.91
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.75 / $114.00 / $151.02	Professional	26	$57.75	$114.00	$151.02
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $106.91 / $209.33 / $279.58	Professional	TC	$106.91	$209.33	$279.58
Health New England Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $213.27 / $454.75	Professional		$75.22	$213.27	$454.75
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $111.76 / $232.47 / $232.47	Facility	26	$111.76	$232.47	$232.47
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $204.00 / $872.98	Professional		$133.62	$204.00	$872.98
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $45.62 / $72.25 / $298.50	Professional	26	$45.62	$72.25	$298.50
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $88.00 / $146.27 / $574.48	Professional	TC	$88.00	$146.27	$574.48
Tufts Facility/Professional Professional Modifier Low / Median / High Price $118.90 / $160.87 / $270.36	Professional		$118.90	$160.87	$270.36
United Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $196.68 / $412.27	Professional		$133.62	$196.68	$412.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.83 / $62.98 / $114.66	Professional	26	$43.83	$62.98	$114.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.33 / $125.44 / $266.27	Professional	TC	$83.33	$125.44	$266.27