Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $46.77 / $186.21	Facility	26	$36.31	$46.77	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $724.44	Professional		$134.90	$239.88	$724.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $61.66 / $154.88	Professional	26	$41.69	$61.66	$154.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $134.90 / $380.19	Professional	TC	$97.72	$134.90	$380.19
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $114.82 / $302.00	Facility	26	$52.48	$114.82	$302.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $602.56	Professional		$144.54	$223.87	$602.56
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $61.66 / $302.00	Professional	26	$40.74	$61.66	$302.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $162.18 / $724.44	Professional	TC	$102.33	$162.18	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $512.86	Professional		$213.80	$363.08	$512.86
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $87.10 / $123.03	Professional	26	$53.70	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $489.78	Professional		$151.36	$257.04	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $70.79 / $138.04	Professional	26	$41.69	$70.79	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $181.97 / $354.81	Professional	TC	$100.00	$181.97	$354.81
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $169.82 / $316.23	Professional		$61.66	$169.82	$316.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $436.52	Professional		$177.83	$257.04	$436.52
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $131.83	Professional	26	$51.29	$72.44	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $173.78 / $309.03	Professional	TC	$120.23	$173.78	$309.03
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $416.87	Professional		$66.07	$97.72	$416.87
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $114.82 / $302.00	Facility	26	$52.48	$114.82	$302.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $1,023.29	Professional		$147.91	$223.87	$1,023.29
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $63.10 / $302.00	Professional	26	$41.69	$63.10	$302.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $162.18 / $724.44	Professional	TC	$102.33	$162.18	$724.44
Tufts Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $275.42	Professional		$102.33	$162.18	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $436.52	Professional		$169.82	$239.88	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $66.07 / $128.82	Professional	26	$47.86	$66.07	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $173.78 / $309.03	Professional	TC	$120.23	$173.78	$309.03