Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.30 / $45.51 / $60.65	Facility	26	$25.30	$45.51	$60.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $135.26 / $380.62	Professional		$87.17	$135.26	$380.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.67 / $37.43 / $114.65	Professional	26	$27.67	$37.43	$114.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.86 / $90.48 / $184.74	Professional	TC	$61.86	$90.48	$184.74
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $76.93 / $80.80 / $171.00	Facility	26	$76.93	$80.80	$171.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $164.53 / $687.27	Professional		$94.32	$164.53	$687.27
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.78 / $51.11 / $254.27	Professional	26	$29.78	$51.11	$254.27
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $66.95 / $122.90 / $479.00	Professional	TC	$66.95	$122.90	$479.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.35 / $61.98 / $82.37	Professional	26	$46.35	$61.98	$82.37
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.19 / $156.41 / $199.07	Professional	TC	$98.19	$156.41	$199.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $190.79 / $340.53	Professional		$105.48	$190.79	$340.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.70 / $51.09 / $97.05	Professional	26	$32.70	$51.09	$97.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $70.66 / $134.22 / $248.67	Professional	TC	$70.66	$134.22	$248.67
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $107.74 / $196.75	Professional		$41.67	$107.74	$196.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $247.26 / $327.83	Professional		$128.61	$247.26	$327.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $78.43 / $103.90	Professional	26	$39.72	$78.43	$103.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $88.88 / $174.03 / $232.43	Professional	TC	$88.88	$174.03	$232.43
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $102.56 / $346.50	Professional		$51.58	$102.56	$346.50
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $77.02 / $171.00 / $171.00	Facility	26	$77.02	$171.00	$171.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $159.01 / $687.27	Professional		$98.25	$159.01	$687.27
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $50.90 / $254.27	Professional	26	$31.57	$50.90	$254.27
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $120.62 / $479.00	Professional	TC	$67.56	$120.62	$479.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $121.22 / $214.26	Professional		$61.26	$121.22	$214.26
United Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $143.97 / $321.25	Professional		$94.62	$143.97	$321.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.57 / $45.24 / $96.84	Professional	26	$31.57	$45.24	$96.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $65.95 / $106.95 / $221.55	Professional	TC	$65.95	$106.95	$221.55