Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.84 / $51.29 / $144.54	Facility	26	$28.84	$51.29	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $1,698.24	Professional		$229.09	$323.59	$1,698.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $51.29 / $190.55	Professional	26	$25.12	$51.29	$190.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $288.40 / $870.96	Professional	TC	$199.53	$288.40	$870.96
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $91.20 / $234.42	Facility	26	$40.74	$91.20	$234.42
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $2,041.74	Professional		$245.47	$398.11	$2,041.74
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $46.77 / $269.15	Professional	26	$27.54	$46.77	$269.15
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $1,778.28	Professional	TC	$218.78	$363.08	$1,778.28
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $72.44 / $95.50	Professional	26	$41.69	$72.44	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $562.34 / $1,023.29	Professional		$257.04	$562.34	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $63.10 / $109.65	Professional	26	$44.67	$63.10	$109.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $489.78 / $912.01	Professional	TC	$223.87	$489.78	$912.01
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $380.19 / $588.84	Professional		$48.98	$380.19	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $776.25	Professional		$295.12	$416.87	$776.25
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $44.67 / $93.33	Professional	26	$36.31	$44.67	$93.33
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $323.59 / $660.69	Professional	TC	$263.03	$323.59	$660.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $302.00	Professional		$52.48	$53.70	$302.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $91.20 / $234.42	Facility	26	$40.74	$91.20	$234.42
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $2,041.74	Professional		$245.47	$398.11	$2,041.74
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $46.77 / $269.15	Professional	26	$27.54	$46.77	$269.15
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $1,778.28	Professional	TC	$218.78	$363.08	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $1,023.29	Professional		$239.88	$467.74	$1,023.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $51.29 / $112.20	Professional	26	$35.48	$51.29	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $416.87 / $851.14	Professional	TC	$169.82	$416.87	$851.14