Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $97.72 / $245.47	Facility	26	$45.71	$97.72	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $1,258.93	Professional		$107.15	$275.42	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $338.84 / $1,000.00	Professional	26	$58.88	$338.84	$1,000.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $97.72 / $380.19	Professional	TC	$53.70	$97.72	$380.19
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $147.91 / $380.19	Facility	26	$67.61	$147.91	$380.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $1,071.52	Professional		$97.72	$194.98	$1,071.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $77.62 / $851.14	Professional	26	$46.77	$77.62	$851.14
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $107.15 / $741.31	Professional	TC	$54.95	$107.15	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $346.74	Professional		$154.88	$263.03	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $162.18	Professional	26	$70.79	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $380.19	Professional		$158.49	$251.19	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $114.82 / $177.83	Professional	26	$70.79	$114.82	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $138.04 / $218.78	Professional	TC	$83.18	$138.04	$218.78
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $223.87	Professional		$79.43	$117.49	$223.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $416.87	Professional		$131.83	$223.87	$416.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $85.11 / $162.18	Professional	26	$63.10	$85.11	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $97.72 / $177.83	Professional	TC	$69.18	$97.72	$177.83
Health New England Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $436.52	Professional		$104.71	$223.87	$436.52
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $147.91 / $380.19	Facility	26	$67.61	$147.91	$380.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $1,071.52	Professional		$97.72	$194.98	$1,071.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $77.62 / $851.14	Professional	26	$46.77	$77.62	$851.14
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $107.15 / $741.31	Professional	TC	$54.95	$107.15	$741.31
Tufts Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $251.19	Professional		$123.03	$162.18	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $416.87	Professional		$138.04	$218.78	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $169.82	Professional	26	$61.66	$81.28	$169.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $144.54 / $208.93	Professional	TC	$72.44	$144.54	$208.93