Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $91.20 / $275.42	Facility	26	$41.69	$91.20	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $691.83	Professional		$128.82	$173.78	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $102.33 / $251.19	Professional	26	$54.95	$102.33	$251.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $97.72 / $263.03	Professional	TC	$64.57	$97.72	$263.03
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $630.96 / $630.96	Facility	26	$162.18	$630.96	$630.96
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $1,445.44	Professional		$134.90	$234.42	$1,445.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $89.13 / $436.52	Professional	26	$51.29	$89.13	$436.52
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $117.49 / $1,174.90	Professional	TC	$72.44	$117.49	$1,174.90
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $134.90 / $177.83	Professional	26	$77.62	$134.90	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $436.52	Professional		$117.49	$251.19	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $93.33 / $204.17	Professional	26	$51.29	$93.33	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $134.90 / $316.23	Professional	TC	$60.26	$134.90	$316.23
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $251.19	Professional		$75.86	$120.23	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $346.74	Professional		$125.89	$208.93	$346.74
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $114.82 / $190.55	Professional	26	$69.18	$114.82	$190.55
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $100.00 / $169.82	Professional	TC	$66.07	$100.00	$169.82
Health New England Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $151.36	Professional		$97.72	$123.03	$151.36
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $630.96 / $630.96	Facility	26	$162.18	$630.96	$630.96
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $1,445.44	Professional		$134.90	$234.42	$1,445.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $89.13 / $436.52	Professional	26	$51.29	$89.13	$436.52
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $117.49 / $1,174.90	Professional	TC	$72.44	$117.49	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $446.68	Professional		$147.91	$245.47	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $190.55	Professional	26	$57.54	$93.33	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $117.49 / $275.42	Professional	TC	$74.13	$117.49	$275.42