Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.98 / $17.98 / $68.48	Facility	26	$17.98	$17.98	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $247.09 / $394.16	Professional		$200.94	$247.09	$394.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.98 / $23.28 / $52.92	Professional	26	$17.98	$23.28	$52.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $182.96 / $221.43 / $358.87	Professional	TC	$182.96	$221.43	$358.87
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $54.25 / $56.98 / $83.89	Facility	26	$54.25	$56.98	$83.89
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $185.66 / $338.97 / $1,103.81	Professional		$185.66	$338.97	$1,103.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.20 / $28.93 / $104.41	Professional	26	$17.20	$28.93	$104.41
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $159.63 / $279.23 / $999.40	Professional	TC	$159.63	$279.23	$999.40
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.37 / $45.58 / $63.27	Professional	26	$31.37	$45.58	$63.27
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $235.71 / $237.25 / $320.45	Professional	TC	$235.71	$237.25	$320.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $424.72 / $735.63	Professional		$289.70	$424.72	$735.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.78 / $39.49 / $69.05	Professional	26	$27.78	$39.49	$69.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $261.32 / $385.23 / $667.23	Professional	TC	$261.32	$385.23	$667.23
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $264.56 / $404.71	Professional		$29.64	$264.56	$404.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $505.53 / $721.83	Professional		$262.55	$505.53	$721.83
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $28.26 / $50.35 / $70.38	Professional	26	$28.26	$50.35	$70.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $234.29 / $417.43 / $583.52	Professional	TC	$234.29	$417.43	$583.52
Health New England Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $35.63 / $72.56	Professional		$32.22	$35.63	$72.56
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $55.06 / $55.06 / $113.34	Facility	26	$55.06	$55.06	$113.34
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $260.69 / $361.16 / $1,459.76	Professional		$260.69	$361.16	$1,459.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $33.61 / $147.05	Professional	26	$23.05	$33.61	$147.05
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $239.22 / $317.72 / $1,312.71	Professional	TC	$239.22	$317.72	$1,312.71
United Facility/Professional Professional Modifier Low / Median / High Price $260.69 / $349.86 / $709.93	Professional		$260.69	$349.86	$709.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.93 / $33.17 / $85.58	Professional	26	$22.93	$33.17	$85.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $233.67 / $312.36 / $646.33	Professional	TC	$233.67	$312.36	$646.33