Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.42 / $26.43 / $100.11	Facility	26	$26.42	$26.43	$100.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $217.82 / $617.50	Professional		$171.23	$217.82	$617.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.43 / $40.71 / $103.11	Professional	26	$26.43	$40.71	$103.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $191.39 / $434.71	Professional	TC	$140.87	$191.39	$434.71
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $42.10 / $89.54 / $463.50	Facility	26	$42.10	$89.54	$463.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $362.03 / $2,395.00	Professional		$209.36	$362.03	$2,395.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $32.52 / $50.33 / $719.00	Professional	26	$32.52	$50.33	$719.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $185.81 / $335.04 / $1,676.00	Professional	TC	$185.81	$335.04	$1,676.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.10 / $569.53 / $733.34	Professional		$461.10	$569.53	$733.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.46 / $75.41 / $123.88	Professional	26	$59.46	$75.41	$123.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.04 / $480.73 / $930.96	Professional		$241.04	$480.73	$930.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.07 / $70.79 / $120.20	Professional	26	$42.07	$70.79	$120.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.67 / $419.02 / $810.76	Professional	TC	$198.67	$419.02	$810.76
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $322.29 / $507.84	Professional		$48.79	$322.29	$507.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $586.75 / $828.90	Professional		$329.32	$586.75	$828.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.28 / $85.48 / $117.97	Professional	26	$46.28	$85.48	$117.97
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $283.02 / $522.76 / $721.44	Professional	TC	$283.02	$522.76	$721.44
Health New England Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $69.33 / $117.07	Professional		$53.07	$69.33	$117.07
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $87.34 / $463.50 / $463.50	Facility	26	$87.34	$463.50	$463.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $203.38 / $399.94 / $2,395.00	Professional		$203.38	$399.94	$2,395.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $35.29 / $55.93 / $719.00	Professional	26	$35.29	$55.93	$719.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $174.93 / $364.18 / $1,676.00	Professional	TC	$174.93	$364.18	$1,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $333.28 / $668.88	Professional		$196.28	$333.28	$668.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.29 / $51.80 / $116.49	Professional	26	$35.29	$51.80	$116.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $174.93 / $294.72 / $622.04	Professional	TC	$174.93	$294.72	$622.04