Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.58 / $30.39 / $90.83	Facility	26	$24.58	$30.39	$90.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $122.89 / $367.52	Professional		$66.66	$122.89	$367.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $47.17 / $112.25	Professional	26	$25.62	$47.17	$112.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.07 / $61.52 / $195.32	Professional	TC	$42.07	$61.52	$195.32
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $34.01 / $76.66 / $151.29	Facility	26	$34.01	$76.66	$151.29
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $129.13 / $524.64	Professional		$79.84	$129.13	$524.64
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $28.05 / $48.29 / $195.35	Professional	26	$28.05	$48.29	$195.35
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $52.33 / $84.64 / $329.23	Professional	TC	$52.33	$84.64	$329.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $131.19 / $205.55	Professional		$24.06	$131.19	$205.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.91 / $57.85 / $76.52	Professional	26	$41.91	$57.85	$76.52
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.09 / $101.04 / $133.99	Professional	TC	$66.09	$101.04	$133.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $145.22 / $258.35	Professional		$86.98	$145.22	$258.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.82 / $49.68 / $91.02	Professional	26	$30.82	$49.68	$91.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.18 / $96.35 / $167.36	Professional	TC	$61.18	$96.35	$167.36
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $78.27 / $148.08	Professional		$39.51	$78.27	$148.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $194.08 / $259.20	Professional		$99.12	$194.08	$259.20
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $37.68 / $74.38 / $98.54	Professional	26	$37.68	$74.38	$98.54
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $61.44 / $121.28 / $160.66	Professional	TC	$61.44	$121.28	$160.66
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $88.06 / $263.37	Professional		$48.89	$88.06	$263.37
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $72.90 / $151.29 / $151.29	Facility	26	$72.90	$151.29	$151.29
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $129.13 / $524.64	Professional		$85.53	$129.13	$524.64
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $30.32 / $47.58 / $195.35	Professional	26	$30.32	$47.58	$195.35
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $53.99 / $83.30 / $329.23	Professional	TC	$53.99	$83.30	$329.23
Tufts Facility/Professional Professional Modifier Low / Median / High Price $44.08 / $86.21 / $139.86	Professional		$44.08	$86.21	$139.86
United Facility/Professional Professional Modifier Low / Median / High Price $82.81 / $112.71 / $207.98	Professional		$82.81	$112.71	$207.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.10 / $41.62 / $73.58	Professional	26	$29.10	$41.62	$73.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.57 / $74.69 / $135.03	Professional	TC	$52.57	$74.69	$135.03