Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.23 / $39.27 / $115.90	Facility	26	$31.23	$39.27	$115.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $257.60 / $483.20	Professional		$208.68	$257.60	$483.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.23 / $43.42 / $135.86	Professional	26	$31.23	$43.42	$135.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $176.24 / $215.90 / $422.53	Professional	TC	$176.24	$215.90	$422.53
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $44.07 / $94.73 / $225.00	Facility	26	$44.07	$94.73	$225.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $218.45 / $368.48 / $1,813.42	Professional		$218.45	$368.48	$1,813.42
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $29.62 / $50.94 / $328.57	Professional	26	$29.62	$50.94	$328.57
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $188.82 / $322.98 / $1,562.23	Professional	TC	$188.82	$322.98	$1,562.23
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.38 / $76.27 / $109.00	Professional	26	$45.38	$76.27	$109.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $350.47 / $378.07 / $378.07	Professional	TC	$350.47	$378.07	$378.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $505.70 / $910.81	Professional		$263.39	$505.70	$910.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.87 / $67.38 / $119.78	Professional	26	$47.87	$67.38	$119.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.05 / $425.07 / $794.10	Professional	TC	$221.05	$425.07	$794.10
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $311.35 / $499.32	Professional		$51.05	$311.35	$499.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $324.39 / $608.25 / $844.84	Professional		$324.39	$608.25	$844.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $48.74 / $86.84 / $121.39	Professional	26	$48.74	$86.84	$121.39
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $275.66 / $491.14 / $686.56	Professional	TC	$275.66	$491.14	$686.56
Health New England Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $87.43 / $122.88	Professional		$55.91	$87.43	$122.88
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $94.73 / $225.00 / $225.00	Facility	26	$94.73	$225.00	$225.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $422.19 / $1,813.42	Professional		$222.40	$422.19	$1,813.42
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $39.27 / $58.62 / $328.57	Professional	26	$39.27	$58.62	$328.57
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $175.72 / $381.68 / $1,562.23	Professional	TC	$175.72	$381.68	$1,562.23
United Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $372.41 / $1,033.27	Professional		$214.76	$372.41	$1,033.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.06 / $56.31 / $132.83	Professional	26	$40.06	$56.31	$132.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $179.18 / $324.43 / $731.88	Professional	TC	$179.18	$324.43	$731.88