Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $22.91 / $91.20	Facility	26	$16.98	$22.91	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $1,412.54	Professional		$165.96	$245.47	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $38.02 / $134.90	Professional	26	$16.98	$38.02	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $208.93 / $602.56	Professional	TC	$147.91	$208.93	$602.56
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $75.86 / $147.91	Facility	26	$53.70	$75.86	$147.91
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $1,047.13	Professional		$177.83	$309.03	$1,047.13
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.84 / $104.71	Professional	26	$17.38	$28.84	$104.71
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $269.15 / $1,000.00	Professional	TC	$158.49	$269.15	$1,000.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $44.67 / $60.26	Professional	26	$26.30	$44.67	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $741.31	Professional		$288.40	$426.58	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $69.18	Professional	26	$28.18	$39.81	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $389.05 / $660.69	Professional	TC	$263.03	$389.05	$660.69
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $275.42 / $426.58	Professional		$30.90	$275.42	$426.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $588.84	Professional		$218.78	$309.03	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $28.84 / $60.26	Professional	26	$23.44	$28.84	$60.26
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $239.88 / $489.78	Professional	TC	$194.98	$239.88	$489.78
Health New England Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $35.48	Professional		$32.36	$33.88	$35.48
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $75.86 / $147.91	Facility	26	$53.70	$75.86	$147.91
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $1,047.13	Professional		$177.83	$302.00	$1,047.13
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $28.84 / $104.71	Professional	26	$17.38	$28.84	$104.71
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $269.15 / $1,000.00	Professional	TC	$158.49	$269.15	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $831.76	Professional		$257.04	$389.05	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.11 / $70.79	Professional	26	$22.91	$33.11	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $316.23 / $645.65	Professional	TC	$229.09	$316.23	$645.65