Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.39 / $42.39 / $157.06	Facility	26	$42.39	$42.39	$157.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.68 / $163.03 / $240.01	Professional		$96.68	$163.03	$240.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.39 / $77.06 / $189.86	Professional	26	$42.39	$77.06	$189.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.30 / $97.59 / $123.46	Professional	TC	$54.30	$97.59	$123.46
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $162.68 / $503.20 / $632.16	Facility	26	$162.68	$503.20	$632.16
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $314.82 / $1,448.59	Professional		$147.99	$314.82	$1,448.59
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $56.48 / $102.82 / $439.49	Professional	26	$56.48	$102.82	$439.49
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $76.22 / $168.74 / $1,174.23	Professional	TC	$76.22	$168.74	$1,174.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $99.86 / $131.02 / $188.34	Professional	26	$99.86	$131.02	$188.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $116.19 / $116.19 / $367.65	Professional	TC	$116.19	$116.19	$367.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $305.54 / $469.33	Professional		$159.61	$305.54	$469.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.79 / $112.47 / $207.42	Professional	26	$60.79	$112.47	$207.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $78.59 / $164.13 / $314.08	Professional	TC	$78.59	$164.13	$314.08
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $108.61 / $207.03	Professional		$76.62	$108.61	$207.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $305.63 / $404.90	Professional		$154.83	$305.63	$404.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $84.38 / $168.29 / $220.66	Professional	26	$84.38	$168.29	$220.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $70.45 / $139.66 / $184.23	Professional	TC	$70.45	$139.66	$184.23
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.08 / $124.37 / $215.77	Professional		$104.08	$124.37	$215.77
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $503.20 / $632.16 / $632.16	Facility	26	$503.20	$632.16	$632.16
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $314.82 / $1,448.59	Professional		$154.37	$314.82	$1,448.59
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $58.59 / $102.03 / $439.49	Professional	26	$58.59	$102.03	$439.49
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $80.69 / $175.86 / $1,174.23	Professional	TC	$80.69	$175.86	$1,174.23
United Facility/Professional Professional Modifier Low / Median / High Price $153.74 / $264.08 / $481.40	Professional		$153.74	$264.08	$481.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.48 / $93.58 / $200.50	Professional	26	$56.48	$93.58	$200.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.95 / $118.42 / $288.37	Professional	TC	$77.95	$118.42	$288.37