Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.29 / $42.23 / $56.24	Facility	26	$23.29	$42.23	$56.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $125.23 / $389.08	Professional		$51.97	$125.23	$389.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $36.29 / $112.89	Professional	26	$25.98	$36.29	$112.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.68 / $93.04 / $246.64	Professional	TC	$28.68	$93.04	$246.64
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $71.38 / $74.97 / $147.82	Facility	26	$71.38	$74.97	$147.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $156.90 / $654.87	Professional		$89.99	$156.90	$654.87
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.62 / $47.58 / $217.94	Professional	26	$27.62	$47.58	$217.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $64.56 / $118.09 / $461.63	Professional	TC	$64.56	$118.09	$461.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.38 / $57.47 / $76.38	Professional	26	$34.38	$57.47	$76.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.16 / $150.00 / $190.90	Professional	TC	$94.16	$150.00	$190.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $159.40 / $324.69	Professional		$87.82	$159.40	$324.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.15 / $48.01 / $90.03	Professional	26	$30.15	$48.01	$90.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $54.30 / $115.20 / $238.48	Professional	TC	$54.30	$115.20	$238.48
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $103.40 / $187.81	Professional		$38.64	$103.40	$187.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $239.80 / $319.45	Professional		$122.47	$239.80	$319.45
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.86 / $72.17 / $96.39	Professional	26	$36.86	$72.17	$96.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $85.61 / $168.99 / $223.88	Professional	TC	$85.61	$168.99	$223.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $91.53 / $232.86	Professional		$47.82	$91.53	$232.86
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $71.41 / $147.82 / $147.82	Facility	26	$71.41	$147.82	$147.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $93.72 / $149.71 / $654.87	Professional		$93.72	$149.71	$654.87
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $47.20 / $217.94	Professional	26	$29.20	$47.20	$217.94
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $116.79 / $461.63	Professional	TC	$67.56	$116.79	$461.63
Tufts Facility/Professional Professional Modifier Low / Median / High Price $100.96 / $134.58 / $216.67	Professional		$100.96	$134.58	$216.67
United Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $138.32 / $305.02	Professional		$89.99	$138.32	$305.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $40.20 / $72.26	Professional	26	$29.02	$40.20	$72.26
United Facility/Professional Professional Modifier TC Low / Median / High Price $63.26 / $101.73 / $227.23	Professional	TC	$63.26	$101.73	$227.23