Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.26 / $29.27 / $106.62	Facility	26	$29.26	$29.27	$106.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $132.35 / $350.35	Professional		$40.84	$132.35	$350.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.27 / $39.61 / $112.00	Professional	26	$29.27	$39.61	$112.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.87 / $97.13 / $237.79	Professional	TC	$77.87	$97.13	$237.79
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $89.57 / $94.09 / $187.10	Facility	26	$89.57	$94.09	$187.10
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $189.08 / $810.58	Professional		$130.71	$189.08	$810.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.93 / $54.42 / $242.65	Professional	26	$35.93	$54.42	$242.65
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $92.45 / $138.97 / $567.92	Professional	TC	$92.45	$138.97	$567.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $36.39 / $55.63	Professional		$21.77	$36.39	$55.63
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $72.76 / $111.23	Professional	26	$51.84	$72.76	$111.23
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $100.46 / $141.02 / $199.36	Professional	52	$100.46	$141.02	$199.36
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $135.94 / $138.50 / $253.75	Professional	TC	$135.94	$138.50	$253.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $225.08 / $401.72	Professional		$142.99	$225.08	$401.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.56 / $62.89 / $113.00	Professional	26	$40.56	$62.89	$113.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $108.66 / $166.69 / $288.70	Professional	TC	$108.66	$166.69	$288.70
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $130.63 / $233.56	Professional		$48.92	$130.63	$233.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $292.93 / $403.82	Professional		$154.41	$292.93	$403.82
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.69 / $93.12 / $122.10	Professional	26	$46.69	$93.12	$122.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $107.72 / $214.84 / $281.70	Professional	TC	$107.72	$214.84	$281.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $113.00 / $266.26	Professional		$54.01	$113.00	$266.26
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $187.10 / $187.10	Facility	26	$90.38	$187.10	$187.10
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $194.61 / $810.58	Professional		$141.44	$194.61	$810.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $41.86 / $55.57 / $242.65	Professional	26	$41.86	$55.57	$242.65
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $100.57 / $140.15 / $567.92	Professional	TC	$100.57	$140.15	$567.92
Tufts Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $125.00 / $212.72	Professional		$84.82	$125.00	$212.72
United Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $189.08 / $317.60	Professional		$136.41	$189.08	$317.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.93 / $54.05 / $102.62	Professional	26	$40.93	$54.05	$102.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.18 / $132.38 / $234.48	Professional	TC	$95.18	$132.38	$234.48