Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $67.61 / $186.21	Facility	26	$32.36	$67.61	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $338.84	Professional		$47.86	$67.61	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $47.86 / $229.09	Professional	26	$32.36	$47.86	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.95 / $66.07	Professional	TC	$12.88	$19.95	$66.07
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $112.20 / $288.40	Facility	26	$51.29	$112.20	$288.40
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $407.38	Professional		$50.12	$81.28	$407.38
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $58.88 / $407.38	Professional	26	$35.48	$58.88	$407.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.70 / $407.38	Professional	TC	$15.85	$25.70	$407.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $91.20 / $141.25	Professional	26	$53.70	$91.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $194.98	Professional		$75.86	$123.03	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $81.28 / $134.90	Professional	26	$51.29	$81.28	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $35.48 / $60.26	Professional	TC	$23.44	$35.48	$60.26
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $67.61 / $125.89	Professional		$27.54	$67.61	$125.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $208.93	Professional		$67.61	$95.50	$208.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $64.57 / $123.03	Professional	26	$47.86	$64.57	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $51.29	Professional	TC	$19.95	$26.92	$51.29
Health New England Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $125.89	Professional		$64.57	$66.07	$125.89
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $51.29 / $112.20 / $288.40	Facility	26	$51.29	$112.20	$288.40
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $407.38	Professional		$50.12	$81.28	$407.38
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $58.88 / $407.38	Professional	26	$35.48	$58.88	$407.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.70 / $407.38	Professional	TC	$15.85	$25.70	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $213.80	Professional		$66.07	$89.13	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $61.66 / $131.83	Professional	26	$43.65	$61.66	$131.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $27.54 / $58.88	Professional	TC	$20.42	$27.54	$58.88