Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.18 / $79.19 / $290.57	Facility	26	$79.18	$79.19	$290.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $197.32 / $476.75	Professional		$117.63	$197.32	$476.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.19 / $115.33 / $308.51	Professional	26	$79.19	$115.33	$308.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $36.07 / $75.66 / $163.22	Professional	TC	$36.07	$75.66	$163.22
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $119.39 / $251.78 / $722.52	Facility	26	$119.39	$251.78	$722.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $316.32 / $3,104.86	Professional		$120.81	$316.32	$3,104.86
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $92.26 / $144.22 / $1,056.82	Professional	26	$92.26	$144.22	$1,056.82
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.79 / $75.52 / $2,563.11	Professional	TC	$26.79	$75.52	$2,563.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.62 / $291.89 / $446.19	Professional		$174.62	$291.89	$446.19
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $149.05 / $210.35 / $278.02	Professional	26	$149.05	$210.35	$278.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $317.30 / $494.95	Professional		$168.76	$317.30	$494.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.15 / $204.16 / $337.77	Professional	26	$120.15	$204.16	$337.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $45.78 / $70.70 / $247.95	Professional	TC	$45.78	$70.70	$247.95
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $154.04 / $272.43	Professional		$53.67	$154.04	$272.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $355.75 / $598.33	Professional		$180.22	$355.75	$598.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $132.30 / $244.36 / $337.23	Professional	26	$132.30	$244.36	$337.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.92 / $88.51 / $120.61	Professional	TC	$47.92	$88.51	$120.61
Health New England Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $183.66 / $198.82	Professional		$91.80	$183.66	$198.82
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $250.54 / $722.52 / $722.52	Facility	26	$250.54	$722.52	$722.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $445.36 / $3,104.86	Professional		$151.05	$445.36	$3,104.86
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $105.70 / $159.74 / $1,056.82	Professional	26	$105.70	$159.74	$1,056.82
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $30.86 / $118.96 / $2,563.11	Professional	TC	$30.86	$118.96	$2,563.11
United Facility/Professional Professional Modifier Low / Median / High Price $150.46 / $322.08 / $818.80	Professional		$150.46	$322.08	$818.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $105.70 / $144.22 / $285.68	Professional	26	$105.70	$144.22	$285.68
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $69.94 / $505.90	Professional	TC	$28.39	$69.94	$505.90