Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $36.31 / $141.25	Facility	26	$28.18	$36.31	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $489.78	Professional		$85.11	$186.21	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $75.86 / $158.49	Professional	26	$33.11	$75.86	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $74.13 / $223.87	Professional	TC	$47.86	$74.13	$223.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $89.13 / $229.09	Facility	26	$39.81	$89.13	$229.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $602.56	Professional		$77.62	$125.89	$602.56
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $48.98 / $239.88	Professional	26	$30.90	$48.98	$239.88
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $83.18 / $371.54	Professional	TC	$52.48	$83.18	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $269.15	Professional		$117.49	$186.21	$269.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $67.61 / $93.33	Professional	26	$40.74	$67.61	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $275.42	Professional		$87.10	$141.25	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $52.48 / $102.33	Professional	26	$30.90	$52.48	$102.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $91.20 / $173.78	Professional	TC	$50.12	$91.20	$173.78
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $190.55	Professional		$46.77	$93.33	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $263.03	Professional		$95.50	$158.49	$263.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $60.26 / $97.72	Professional	26	$36.31	$60.26	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $100.00 / $158.49	Professional	TC	$60.26	$100.00	$158.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $204.17	Professional		$41.69	$104.71	$204.17
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $89.13 / $229.09	Facility	26	$39.81	$89.13	$229.09
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $602.56	Professional		$77.62	$125.89	$602.56
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $47.86 / $239.88	Professional	26	$30.90	$47.86	$239.88
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $81.28 / $371.54	Professional	TC	$51.29	$81.28	$371.54
Tufts Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $158.49	Professional		$40.74	$81.28	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $263.03	Professional		$89.13	$128.82	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $48.98 / $100.00	Professional	26	$33.88	$48.98	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $85.11 / $162.18	Professional	TC	$56.23	$85.11	$162.18