Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.34 / $110.10 / $110.10	Facility	26	$74.34	$110.10	$110.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $394.53 / $600.00	Professional		$202.83	$394.53	$600.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.95 / $116.83 / $180.00	Professional	26	$67.95	$116.83	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.85 / $276.50 / $433.05	Professional	TC	$136.85	$276.50	$433.05
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $177.60 / $549.04 / $691.52	Facility	26	$177.60	$549.04	$691.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $259.69 / $519.38 / $1,484.56	Professional		$259.69	$519.38	$1,484.56
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $63.80 / $106.50 / $478.82	Professional	26	$63.80	$106.50	$478.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $179.50 / $340.34 / $1,005.68	Professional	TC	$179.50	$340.34	$1,005.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $71.88 / $95.52	Professional		$48.16	$71.88	$95.52
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.32 / $141.47 / $191.05	Professional	26	$96.32	$141.47	$191.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.32 / $256.02 / $784.73	Professional	TC	$251.32	$256.02	$784.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $371.82 / $747.27	Professional		$269.83	$371.82	$747.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.36 / $112.92 / $231.23	Professional	26	$78.36	$112.92	$231.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.50 / $258.89 / $516.04	Professional	TC	$179.50	$258.89	$516.04
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $226.62 / $412.02	Professional		$96.64	$226.62	$412.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $272.38 / $543.23 / $712.30	Professional		$272.38	$543.23	$712.30
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $92.16 / $183.80 / $241.01	Professional	26	$92.16	$183.80	$241.01
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $180.22 / $357.27 / $471.29	Professional	TC	$180.22	$357.27	$471.29
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $549.04 / $691.52 / $691.52	Facility	26	$549.04	$691.52	$691.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $256.55 / $609.46 / $1,484.56	Professional		$256.55	$609.46	$1,484.56
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $74.17 / $108.96 / $478.82	Professional	26	$74.17	$108.96	$478.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $173.59 / $359.00 / $1,040.26	Professional	TC	$173.59	$359.00	$1,040.26
United Facility/Professional Professional Modifier Low / Median / High Price $255.51 / $497.16 / $1,279.48	Professional		$255.51	$497.16	$1,279.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.65 / $105.87 / $190.94	Professional	26	$64.65	$105.87	$190.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.59 / $252.77 / $1,060.94	Professional	TC	$173.59	$252.77	$1,060.94