Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $41.69 / $162.18	Facility	26	$32.36	$41.69	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $218.78 / $602.56	Professional		$95.50	$218.78	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $89.13 / $239.88	Professional	26	$37.15	$89.13	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $89.13 / $223.87	Professional	TC	$56.23	$89.13	$223.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $257.04 / $257.04	Facility	26	$95.50	$257.04	$257.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $707.95	Professional		$85.11	$147.91	$707.95
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $257.04	Professional	26	$34.67	$56.23	$257.04
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $97.72 / $446.68	Professional	TC	$56.23	$97.72	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $316.23	Professional		$141.25	$223.87	$316.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $79.43 / $104.71	Professional	26	$45.71	$79.43	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $331.13	Professional		$87.10	$162.18	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $58.88 / $117.49	Professional	26	$32.36	$58.88	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $104.71 / $208.93	Professional	TC	$51.29	$104.71	$208.93
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $218.78	Professional		$53.70	$112.20	$218.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $309.03	Professional		$134.90	$204.17	$309.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $67.61 / $109.65	Professional	26	$41.69	$67.61	$109.65
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $120.23 / $186.21	Professional	TC	$72.44	$120.23	$186.21
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $371.54	Professional		$63.10	$147.91	$371.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $257.04 / $257.04	Facility	26	$95.50	$257.04	$257.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $707.95	Professional		$85.11	$144.54	$707.95
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $56.23 / $257.04	Professional	26	$34.67	$56.23	$257.04
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $97.72 / $446.68	Professional	TC	$56.23	$97.72	$446.68
Tufts Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $213.80	Professional		$85.11	$128.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $302.00	Professional		$89.13	$147.91	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $56.23 / $114.82	Professional	26	$38.02	$56.23	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $95.50 / $199.53	Professional	TC	$52.48	$95.50	$199.53