Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $35.48 / $181.97	Facility	26	$26.92	$35.48	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $575.44	Professional		$109.65	$208.93	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $53.70 / $144.54	Professional	26	$33.11	$53.70	$144.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.39 / $100.00 / $575.44	Professional	52	$22.39	$100.00	$575.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $112.20 / $380.19	Professional	TC	$81.28	$112.20	$380.19
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $141.25 / $229.09	Facility	26	$39.81	$141.25	$229.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $831.76	Professional		$141.25	$186.21	$831.76
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $48.98 / $229.09	Professional	26	$38.02	$48.98	$229.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $138.04 / $602.56	Professional	TC	$104.71	$138.04	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $398.11	Professional		$173.78	$295.12	$398.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $70.79 / $93.33	Professional	26	$41.69	$70.79	$93.33
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $20.42 / $46.77 / $186.21	Professional	52	$20.42	$46.77	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $389.05	Professional		$125.89	$208.93	$389.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $54.95 / $107.15	Professional	26	$31.62	$54.95	$107.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $151.36 / $288.40	Professional	TC	$89.13	$151.36	$288.40
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $141.25 / $251.19	Professional		$46.77	$141.25	$251.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $354.81	Professional		$151.36	$218.78	$354.81
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $54.95 / $97.72	Professional	26	$38.90	$54.95	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $144.54 / $257.04	Professional	TC	$100.00	$144.54	$257.04
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $371.54	Professional		$51.29	$75.86	$371.54
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $141.25 / $229.09	Facility	26	$39.81	$141.25	$229.09
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $831.76	Professional		$141.25	$186.21	$831.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $229.09	Professional	26	$38.02	$50.12	$229.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $138.04 / $602.56	Professional	TC	$104.71	$138.04	$602.56
Tufts Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $251.19	Professional		$117.49	$151.36	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $354.81	Professional		$138.04	$194.98	$354.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $51.29 / $97.72	Professional	26	$36.31	$51.29	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $141.25 / $257.04	Professional	TC	$100.00	$141.25	$257.04