Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.42 / $36.43 / $132.69	Facility	26	$36.42	$36.43	$132.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $174.44 / $506.10	Professional		$136.07	$174.44	$506.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.43 / $49.04 / $138.60	Professional	26	$36.43	$49.04	$138.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.64 / $123.80 / $293.80	Professional	TC	$99.64	$123.80	$293.80
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $110.17 / $115.72 / $230.38	Facility	26	$110.17	$115.72	$230.38
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $239.21 / $1,024.30	Professional		$166.03	$239.21	$1,024.30
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $44.28 / $66.63 / $300.10	Professional	26	$44.28	$66.63	$300.10
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $118.49 / $177.21 / $724.19	Professional	TC	$118.49	$177.21	$724.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.83 / $359.62 / $504.64	Professional		$254.83	$359.62	$504.64
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $68.20 / $89.48 / $116.47	Professional	26	$68.20	$89.48	$116.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $132.85 / $177.53 / $325.26	Professional	TC	$132.85	$177.53	$325.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $285.75 / $507.92	Professional		$181.56	$285.75	$507.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $77.26 / $139.78	Professional	26	$49.68	$77.26	$139.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $139.02 / $212.55 / $368.15	Professional	TC	$139.02	$212.55	$368.15
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $166.46 / $297.62	Professional		$60.16	$166.46	$297.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $384.06 / $508.79	Professional		$194.56	$384.06	$508.79
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.34 / $113.67 / $149.94	Professional	26	$57.34	$113.67	$149.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $137.22 / $273.67 / $358.84	Professional	TC	$137.22	$273.67	$358.84
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $122.25 / $255.75	Professional		$68.18	$122.25	$255.75
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $111.37 / $230.38 / $230.38	Facility	26	$111.37	$230.38	$230.38
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $245.38 / $1,024.30	Professional		$179.78	$245.38	$1,024.30
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $51.25 / $68.17 / $300.10	Professional	26	$51.25	$68.17	$300.10
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $128.21 / $179.34 / $724.19	Professional	TC	$128.21	$179.34	$724.19
Tufts Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $132.11 / $268.20	Professional		$105.79	$132.11	$268.20
United Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $240.51 / $489.71	Professional		$179.78	$240.51	$489.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.05 / $61.50 / $114.07	Professional	26	$45.05	$61.50	$114.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $124.50 / $172.17 / $302.95	Professional	TC	$124.50	$172.17	$302.95