Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.86 / $24.86 / $91.98	Facility	26	$24.86	$24.86	$91.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $141.90 / $446.31	Professional		$73.91	$141.90	$446.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.86 / $35.74 / $112.89	Professional	26	$24.86	$35.74	$112.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.06 / $97.08 / $206.32	Professional	TC	$49.06	$97.08	$206.32
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $74.81 / $78.58 / $158.46	Facility	26	$74.81	$78.58	$158.46
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $251.67 / $898.89	Professional		$109.48	$251.67	$898.89
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.59 / $51.09 / $371.50	Professional	26	$29.59	$51.09	$371.50
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $88.52 / $266.92 / $695.99	Professional	TC	$88.52	$266.92	$695.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $20.48 / $39.99	Professional		$11.97	$20.48	$39.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.02 / $61.46 / $93.93	Professional	26	$46.02	$61.46	$93.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $125.28 / $218.58 / $289.63	Professional	TC	$125.28	$218.58	$289.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $275.54 / $575.13	Professional		$120.80	$275.54	$575.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.25 / $51.85 / $94.40	Professional	26	$32.25	$51.85	$94.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $86.94 / $245.61 / $486.87	Professional	TC	$86.94	$245.61	$486.87
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $228.68 / $371.52	Professional		$41.33	$228.68	$371.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $241.25 / $456.47 / $614.95	Professional		$241.25	$456.47	$614.95
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $76.98 / $102.83	Professional	26	$39.32	$76.98	$102.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $243.33 / $406.69 / $528.07	Professional	TC	$243.33	$406.69	$528.07
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $99.66 / $675.25	Professional		$48.75	$99.66	$675.25
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $76.68 / $158.46 / $158.46	Facility	26	$76.68	$158.46	$158.46
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $229.23 / $898.89	Professional		$115.65	$229.23	$898.89
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $49.91 / $371.50	Professional	26	$31.41	$49.91	$371.50
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $91.34 / $202.92 / $695.99	Professional	TC	$91.34	$202.92	$695.99
United Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $202.76 / $473.40	Professional		$107.76	$202.76	$473.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $42.97 / $86.78	Professional	26	$31.41	$42.97	$86.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.29 / $164.44 / $404.42	Professional	TC	$84.29	$164.44	$404.42