Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.46 / $35.46 / $132.19	Facility	26	$35.46	$35.46	$132.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.61 / $240.06 / $264.05	Professional		$189.61	$240.06	$264.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.46 / $48.48 / $176.34	Professional	26	$35.46	$48.48	$176.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $154.15 / $186.24 / $213.20	Professional	TC	$154.15	$186.24	$213.20
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $50.48 / $107.73 / $221.68	Facility	26	$50.48	$107.73	$221.68
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $324.14 / $1,525.44	Professional		$167.82	$324.14	$1,525.44
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $33.63 / $58.00 / $501.94	Professional	26	$33.63	$58.00	$501.94
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $134.18 / $260.33 / $1,268.71	Professional	TC	$134.18	$260.33	$1,268.71
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $65.73 / $88.65 / $114.43	Professional	26	$65.73	$88.65	$114.43
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $271.61 / $271.61 / $324.54	Professional	TC	$271.61	$271.61	$324.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.55 / $403.23 / $698.40	Professional		$276.55	$403.23	$698.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.34 / $77.87 / $137.26	Professional	26	$54.34	$77.87	$137.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.04 / $325.36 / $563.53	Professional	TC	$221.04	$325.36	$563.53
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $232.45 / $378.96	Professional		$57.97	$232.45	$378.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $500.49 / $775.87	Professional		$253.54	$500.49	$775.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $98.53 / $137.72	Professional	26	$55.30	$98.53	$137.72
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $198.25 / $353.22 / $493.76	Professional	TC	$198.25	$353.22	$493.76
Health New England Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $68.00	Professional		$68.00	$68.00	$68.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $107.73 / $221.68 / $221.68	Facility	26	$107.73	$221.68	$221.68
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $342.77 / $1,525.44	Professional		$254.94	$342.77	$1,525.44
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $44.93 / $66.56 / $501.94	Professional	26	$44.93	$66.56	$501.94
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $204.44 / $279.24 / $1,268.71	Professional	TC	$204.44	$279.24	$1,268.71
United Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $328.58 / $775.17	Professional		$253.54	$328.58	$775.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.89 / $63.78 / $150.46	Professional	26	$45.89	$63.78	$150.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $198.12 / $264.80 / $624.71	Professional	TC	$198.12	$264.80	$624.71