Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.13 / $36.28 / $107.18	Facility	26	$29.13	$36.28	$107.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $282.45 / $490.17	Professional		$233.04	$282.45	$490.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.13 / $42.61 / $127.76	Professional	26	$29.13	$42.61	$127.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $201.65 / $244.81 / $431.45	Professional	TC	$201.65	$244.81	$431.45
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $40.69 / $87.37 / $180.26	Facility	26	$40.69	$87.37	$180.26
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $244.59 / $404.23 / $2,023.55	Professional		$244.59	$404.23	$2,023.55
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $27.37 / $46.36 / $267.48	Professional	26	$27.37	$46.36	$267.48
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $217.21 / $368.78 / $1,789.49	Professional	TC	$217.21	$368.78	$1,789.49
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.43 / $72.56 / $100.74	Professional	26	$53.43	$72.56	$100.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $394.63 / $436.51 / $436.51	Professional	TC	$394.63	$436.51	$436.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.79 / $566.66 / $1,018.49	Professional		$294.79	$566.66	$1,018.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.24 / $62.86 / $110.62	Professional	26	$44.24	$62.86	$110.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $255.60 / $493.51 / $909.61	Professional	TC	$255.60	$493.51	$909.61
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $359.88 / $560.29	Professional		$47.16	$359.88	$560.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $363.72 / $661.97 / $915.48	Professional		$363.72	$661.97	$915.48
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $45.06 / $80.28 / $112.23	Professional	26	$45.06	$80.28	$112.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $318.67 / $567.77 / $793.68	Professional	TC	$318.67	$567.77	$793.68
Health New England Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $109.00 / $302.60	Professional		$51.64	$109.00	$302.60
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $87.37 / $180.26 / $180.26	Facility	26	$87.37	$180.26	$180.26
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $470.32 / $2,023.55	Professional		$212.00	$470.32	$2,023.55
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $54.18 / $267.48	Professional	26	$35.34	$54.18	$267.48
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $170.14 / $433.78 / $1,789.49	Professional	TC	$170.14	$433.78	$1,789.49
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $404.23 / $950.36	Professional		$212.00	$404.23	$950.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $51.30 / $137.11	Professional	26	$35.34	$51.30	$137.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $170.14 / $421.04 / $1,260.16	Professional	TC	$170.14	$421.04	$1,260.16