Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.46 / $28.46 / $105.26	Facility	26	$28.46	$28.46	$105.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $112.10 / $481.00	Professional		$76.64	$112.10	$481.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.31 / $53.20 / $124.07	Professional	26	$29.31	$53.20	$124.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.18 / $64.31 / $210.41	Professional	TC	$48.18	$64.31	$210.41
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $84.09 / $88.32 / $174.61	Facility	26	$84.09	$88.32	$174.61
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $146.33 / $600.27	Professional		$89.96	$146.33	$600.27
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $32.65 / $54.63 / $240.89	Professional	26	$32.65	$54.63	$240.89
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $58.03 / $95.80 / $372.64	Professional	TC	$58.03	$95.80	$372.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.71 / $66.73 / $90.13	Professional	26	$50.71	$66.73	$90.13
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $68.37 / $110.15 / $155.58	Professional	TC	$68.37	$110.15	$155.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $168.92 / $295.55	Professional		$101.15	$168.92	$295.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $58.36 / $106.13	Professional	26	$35.54	$58.36	$106.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $65.98 / $109.37 / $189.42	Professional	TC	$65.98	$109.37	$189.42
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $88.21 / $168.32	Professional		$45.57	$88.21	$168.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $222.35 / $294.56	Professional		$112.64	$222.35	$294.56
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $43.42 / $86.08 / $113.55	Professional	26	$43.42	$86.08	$113.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $69.22 / $136.63 / $181.02	Professional	TC	$69.22	$136.63	$181.02
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $112.24 / $285.60	Professional		$56.30	$112.24	$285.60
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $84.15 / $174.61 / $174.61	Facility	26	$84.15	$174.61	$174.61
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $145.91 / $600.27	Professional		$96.73	$145.91	$600.27
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $53.55 / $240.89	Professional	26	$34.65	$53.55	$240.89
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $59.19 / $94.27 / $372.64	Professional	TC	$59.19	$94.27	$372.64
Tufts Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $79.88 / $145.10	Professional		$45.19	$79.88	$145.10
United Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $128.40 / $245.19	Professional		$90.08	$128.40	$245.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.65 / $50.90 / $113.89	Professional	26	$34.65	$50.90	$113.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $58.03 / $84.49 / $152.82	Professional	TC	$58.03	$84.49	$152.82