Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $64.83 / $121.38	Facility	26	$45.12	$64.83	$121.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $263.67 / $709.48	Professional		$133.35	$263.67	$709.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.63 / $94.67 / $257.12	Professional	26	$49.63	$94.67	$257.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $83.71 / $169.02 / $452.37	Professional	TC	$83.71	$169.02	$452.37
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $331.68 / $331.68 / $417.52	Facility	26	$331.68	$331.68	$417.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $249.62 / $997.59	Professional		$143.34	$249.62	$997.59
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $66.38 / $279.39	Professional	26	$39.17	$66.38	$279.39
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $90.28 / $171.72 / $798.20	Professional	TC	$90.28	$171.72	$798.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.83 / $245.47 / $326.18	Professional		$146.83	$245.47	$326.18
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.65 / $88.02 / $116.96	Professional	26	$52.65	$88.02	$116.96
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.17 / $154.91 / $209.20	Professional	TC	$94.17	$154.91	$209.20
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $115.91 / $200.25	Professional		$58.66	$115.91	$200.25
Health New England Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $82.45 / $138.36	Professional		$61.79	$82.45	$138.36
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $331.68 / $331.68 / $417.52	Facility	26	$331.68	$331.68	$417.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $249.62 / $997.59	Professional		$143.34	$249.62	$997.59
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $39.17 / $66.38 / $279.39	Professional	26	$39.17	$66.38	$279.39
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $90.28 / $171.72 / $798.20	Professional	TC	$90.28	$171.72	$798.20
Tufts Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $171.88 / $207.00	Professional		$103.84	$171.88	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $191.39 / $322.23	Professional		$131.06	$191.39	$322.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.11 / $57.68 / $112.43	Professional	26	$36.11	$57.68	$112.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.29 / $121.45 / $229.59	Professional	TC	$83.29	$121.45	$229.59