Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.21 / $37.21 / $138.11	Facility	26	$37.21	$37.21	$138.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $299.83 / $421.94	Professional		$257.01	$299.83	$421.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.21 / $53.95 / $160.00	Professional	26	$37.21	$53.95	$160.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $215.91 / $251.24 / $367.51	Professional	TC	$215.91	$251.24	$367.51
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $52.65 / $112.48 / $231.75	Facility	26	$52.65	$112.48	$231.75
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $255.85 / $427.96 / $2,116.12	Professional		$255.85	$427.96	$2,116.12
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $35.15 / $60.23 / $350.03	Professional	26	$35.15	$60.23	$350.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $220.70 / $382.87 / $1,817.68	Professional	TC	$220.70	$382.87	$1,817.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.84 / $92.66 / $129.32	Professional	26	$53.84	$92.66	$129.32
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $399.76 / $399.76 / $443.09	Professional	TC	$399.76	$399.76	$443.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.27 / $613.54 / $1,062.68	Professional		$309.27	$613.54	$1,062.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.79 / $80.09 / $143.18	Professional	26	$56.79	$80.09	$143.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $259.20 / $533.45 / $923.95	Professional	TC	$259.20	$533.45	$923.95
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $364.97 / $586.36	Professional		$60.58	$364.97	$586.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $380.93 / $692.14 / $958.80	Professional		$380.93	$692.14	$958.80
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $57.75 / $102.89 / $143.83	Professional	26	$57.75	$102.89	$143.83
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $323.17 / $575.79 / $804.89	Professional	TC	$323.17	$575.79	$804.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $68.67 / $134.31	Professional		$66.81	$68.67	$134.31
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $112.48 / $231.75 / $231.75	Facility	26	$112.48	$231.75	$231.75
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $251.67 / $495.73 / $2,116.12	Professional		$251.67	$495.73	$2,116.12
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $46.23 / $69.56 / $350.03	Professional	26	$46.23	$69.56	$350.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $196.75 / $436.87 / $1,817.68	Professional	TC	$196.75	$436.87	$1,817.68
United Facility/Professional Professional Modifier Low / Median / High Price $251.67 / $429.18 / $996.17	Professional		$251.67	$429.18	$996.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $68.73 / $177.45	Professional	26	$47.86	$68.73	$177.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $196.75 / $427.00 / $855.26	Professional	TC	$196.75	$427.00	$855.26