Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.89 / $32.39 / $95.65	Facility	26	$25.89	$32.39	$95.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $138.79 / $472.53	Professional		$97.37	$138.79	$472.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.90 / $44.33 / $112.75	Professional	26	$25.90	$44.33	$112.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $48.69 / $62.68 / $174.57	Professional	52	$48.69	$62.68	$174.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.47 / $97.13 / $253.73	Professional	TC	$71.47	$97.13	$253.73
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $77.65 / $81.70 / $161.36	Facility	26	$77.65	$81.70	$161.36
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.34 / $778.42	Professional		$95.50	$181.34	$778.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $30.13 / $52.18 / $290.60	Professional	26	$30.13	$52.18	$290.60
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $70.11 / $143.68 / $570.15	Professional	TC	$70.11	$143.68	$570.15
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.50 / $61.49 / $83.31	Professional	26	$37.50	$61.49	$83.31
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $25.44 / $94.46 / $153.59	Professional	52	$25.44	$94.46	$153.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $116.39 / $166.80 / $213.39	Professional	TC	$116.39	$166.80	$213.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $190.79 / $386.87	Professional		$105.48	$190.79	$386.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.84 / $53.12 / $97.05	Professional	26	$32.84	$53.12	$97.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.98 / $142.28 / $289.82	Professional	TC	$70.98	$142.28	$289.82
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $126.21 / $221.52	Professional		$42.11	$126.21	$221.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $283.11 / $368.56	Professional		$144.59	$283.11	$368.56
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $78.59 / $104.97	Professional	26	$40.14	$78.59	$104.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $104.45 / $206.18 / $273.14	Professional	TC	$104.45	$206.18	$273.14
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $102.56 / $394.13	Professional		$51.82	$102.56	$394.13
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $77.65 / $161.36 / $161.36	Facility	26	$77.65	$161.36	$161.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $176.22 / $778.42	Professional		$98.42	$176.22	$778.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $51.11 / $290.60	Professional	26	$31.57	$51.11	$290.60
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $70.11 / $137.96 / $570.15	Professional	TC	$70.11	$137.96	$570.15
Tufts Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $141.00 / $241.41	Professional		$104.24	$141.00	$241.41
United Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $150.28 / $320.27	Professional		$95.30	$150.28	$320.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.35 / $43.85 / $83.60	Professional	26	$31.35	$43.85	$83.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.73 / $116.82 / $293.57	Professional	TC	$63.73	$116.82	$293.57