Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.01 / $27.02 / $100.34	Facility	26	$27.01	$27.02	$100.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.36 / $334.54 / $480.43	Professional		$276.36	$334.54	$480.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.02 / $36.82 / $101.50	Professional	26	$27.02	$36.82	$101.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $249.34 / $298.11 / $425.48	Professional	TC	$249.34	$298.11	$425.48
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $80.77 / $84.85 / $127.07	Facility	26	$80.77	$84.85	$127.07
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $252.72 / $458.33 / $1,502.81	Professional		$252.72	$458.33	$1,502.81
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.61 / $43.82 / $157.88	Professional	26	$25.61	$43.82	$157.88
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $215.07 / $375.70 / $1,344.67	Professional	TC	$215.07	$375.70	$1,344.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.24 / $67.53 / $94.25	Professional	26	$39.24	$67.53	$94.25
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $431.16 / $431.16 / $475.19	Professional	TC	$431.16	$431.16	$475.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.85 / $578.88 / $1,002.64	Professional		$392.85	$578.88	$1,002.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.40 / $58.81 / $104.57	Professional	26	$41.40	$58.81	$104.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $350.56 / $520.08 / $900.79	Professional	TC	$350.56	$520.08	$900.79
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $354.90 / $549.15	Professional		$44.14	$354.90	$549.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $356.35 / $665.30 / $896.93	Professional		$356.35	$665.30	$896.93
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.19 / $75.17 / $105.08	Professional	26	$42.19	$75.17	$105.08
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $314.16 / $559.74 / $782.45	Professional	TC	$314.16	$559.74	$782.45
Health New England Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $52.86 / $107.40	Professional		$48.80	$52.86	$107.40
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $81.73 / $81.73 / $168.58	Facility	26	$81.73	$81.73	$168.58
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $352.46 / $491.45 / $1,991.14	Professional		$352.46	$491.45	$1,991.14
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $33.95 / $50.09 / $218.97	Professional	26	$33.95	$50.09	$218.97
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $320.85 / $430.16 / $1,772.11	Professional	TC	$320.85	$430.16	$1,772.11
United Facility/Professional Professional Modifier Low / Median / High Price $352.46 / $478.18 / $1,128.08	Professional		$352.46	$478.18	$1,128.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.75 / $48.02 / $113.27	Professional	26	$33.75	$48.02	$113.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.36 / $430.16 / $1,014.81	Professional	TC	$314.36	$430.16	$1,014.81