Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.32 / $37.88 / $121.53	Facility	26	$32.32	$37.88	$121.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $157.22 / $576.00	Professional		$90.69	$157.22	$576.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $75.31 / $265.74	Professional	26	$33.28	$75.31	$265.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.82 / $69.69 / $195.24	Professional	TC	$56.82	$69.69	$195.24
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $94.78 / $99.56 / $198.74	Facility	26	$94.78	$99.56	$198.74
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $164.56 / $708.49	Professional		$86.66	$164.56	$708.49
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $37.40 / $63.07 / $257.68	Professional	26	$37.40	$63.07	$257.68
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $55.91 / $115.36 / $450.80	Professional	TC	$55.91	$115.36	$450.80
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.60 / $77.01 / $102.34	Professional	26	$51.60	$77.01	$102.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $83.09 / $128.21 / $190.01	Professional	TC	$83.09	$128.21	$190.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.12 / $175.95 / $349.30	Professional		$96.12	$175.95	$349.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.61 / $64.30 / $120.16	Professional	26	$37.61	$64.30	$120.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $56.04 / $116.71 / $230.02	Professional	TC	$56.04	$116.71	$230.02
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $103.86 / $193.67	Professional		$51.74	$103.86	$193.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.12 / $251.88 / $339.32	Professional		$133.12	$251.88	$339.32
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $96.24 / $128.53	Professional	26	$49.15	$96.24	$128.53
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $83.97 / $164.41 / $219.59	Professional	TC	$83.97	$164.41	$219.59
Health New England Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $126.83 / $368.64	Professional		$64.48	$126.83	$368.64
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $95.69 / $198.74 / $198.74	Facility	26	$95.69	$198.74	$198.74
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $161.54 / $708.49	Professional		$89.77	$161.54	$708.49
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $40.44 / $62.85 / $257.68	Professional	26	$40.44	$62.85	$257.68
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $54.14 / $114.57 / $450.80	Professional	TC	$54.14	$114.57	$450.80
Tufts Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $131.15 / $220.00	Professional		$94.56	$131.15	$220.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $145.28 / $277.24	Professional		$86.66	$145.28	$277.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.40 / $56.06 / $123.71	Professional	26	$37.40	$56.06	$123.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.75 / $93.87 / $185.32	Professional	TC	$47.75	$93.87	$185.32