Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.26 / $35.79 / $108.99	Facility	26	$29.26	$35.79	$108.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $101.78 / $376.45	Professional		$69.58	$101.78	$376.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.17 / $51.04 / $161.19	Professional	26	$30.17	$51.04	$161.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.32 / $55.88 / $126.71	Professional	TC	$40.32	$55.88	$126.71
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $85.22 / $89.52 / $178.60	Facility	26	$85.22	$89.52	$178.60
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $135.13 / $579.47	Professional		$84.11	$135.13	$579.47
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.51 / $56.97 / $269.13	Professional	26	$33.51	$56.97	$269.13
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $50.64 / $81.87 / $351.46	Professional	TC	$50.64	$81.87	$351.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.42 / $69.23 / $92.01	Professional	26	$41.42	$69.23	$92.01
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $66.34 / $98.86 / $134.52	Professional	TC	$66.34	$98.86	$134.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $145.38 / $265.83	Professional		$90.48	$145.38	$265.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $59.75 / $109.16	Professional	26	$36.29	$59.75	$109.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.35 / $88.98 / $158.38	Professional	TC	$58.35	$88.98	$158.38
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $78.98 / $155.43	Professional		$45.72	$78.98	$155.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $199.18 / $275.29	Professional		$90.74	$199.18	$275.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $44.24 / $86.62 / $115.69	Professional	26	$44.24	$86.62	$115.69
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $61.03 / $119.50 / $155.57	Professional	TC	$61.03	$119.50	$155.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $134.66 / $277.69	Professional		$58.03	$134.66	$277.69
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $86.18 / $178.60 / $178.60	Facility	26	$86.18	$178.60	$178.60
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $133.35 / $579.47	Professional		$90.03	$133.35	$579.47
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $36.07 / $53.53 / $269.13	Professional	26	$36.07	$53.53	$269.13
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $50.64 / $80.48 / $351.46	Professional	TC	$50.64	$80.48	$351.46
Tufts Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $87.13 / $169.00	Professional		$41.75	$87.13	$169.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $120.95 / $211.40	Professional		$88.42	$120.95	$211.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.10 / $50.91 / $109.92	Professional	26	$34.10	$50.91	$109.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $50.64 / $70.04 / $134.13	Professional	TC	$50.64	$70.04	$134.13