Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.89 / $46.89 / $164.22	Facility	26	$46.89	$46.89	$164.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $162.08 / $685.60	Professional		$118.65	$162.08	$685.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.67 / $221.80 / $1,050.42	Professional	26	$53.67	$221.80	$1,050.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $71.76 / $93.91 / $150.16	Professional	TC	$71.76	$93.91	$150.16
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $67.59 / $142.02 / $347.58	Facility	26	$67.59	$142.02	$347.58
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $212.57 / $1,067.26	Professional		$101.77	$212.57	$1,067.26
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.23 / $81.76 / $855.01	Professional	26	$52.23	$81.76	$855.01
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $59.67 / $144.94 / $746.61	Professional	TC	$59.67	$144.94	$746.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.86 / $264.86 / $343.27	Professional		$196.86	$264.86	$343.27
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $96.50 / $120.91 / $156.69	Professional	26	$96.50	$120.91	$156.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $271.44 / $416.95	Professional		$149.33	$271.44	$416.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.17 / $116.81 / $190.54	Professional	26	$68.17	$116.81	$190.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $81.16 / $147.38 / $226.40	Professional	TC	$81.16	$147.38	$226.40
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $109.50 / $207.00	Professional		$76.53	$109.50	$207.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.65 / $295.27 / $472.85	Professional		$155.65	$295.27	$472.85
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $74.55 / $137.69 / $190.03	Professional	26	$74.55	$137.69	$190.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $81.09 / $149.79 / $206.72	Professional	TC	$81.09	$149.79	$206.72
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.66 / $439.32 / $1,867.39	Professional		$87.66	$439.32	$1,867.39
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $141.46 / $347.58 / $347.58	Facility	26	$141.46	$347.58	$347.58
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $243.67 / $1,067.26	Professional		$148.41	$243.67	$1,067.26
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $62.68 / $91.04 / $855.01	Professional	26	$62.68	$91.04	$855.01
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $78.68 / $151.19 / $746.61	Professional	TC	$78.68	$151.19	$746.61
Tufts Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $196.41 / $215.52	Professional		$106.61	$196.41	$215.52
United Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $212.57 / $358.99	Professional		$139.41	$212.57	$358.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.45 / $81.76 / $166.73	Professional	26	$61.45	$81.76	$166.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $71.45 / $129.36 / $187.97	Professional	TC	$71.45	$129.36	$187.97