Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.07 / $39.07 / $145.71	Facility	26	$39.07	$39.07	$145.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $317.56 / $406.55	Professional		$269.83	$317.56	$406.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.67 / $51.16 / $144.90	Professional	26	$38.67	$51.16	$144.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.16 / $269.07 / $349.40	Professional	TC	$231.16	$269.07	$349.40
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $115.56 / $121.39 / $241.59	Facility	26	$115.56	$121.39	$241.59
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $448.87 / $1,529.27	Professional		$257.27	$448.87	$1,529.27
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $36.64 / $62.53 / $225.32	Professional	26	$36.64	$62.53	$225.32
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $208.38 / $364.21 / $1,303.57	Professional	TC	$208.38	$364.21	$1,303.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.11 / $96.57 / $134.78	Professional	26	$56.11	$96.57	$134.78
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $417.98 / $417.98 / $440.43	Professional	TC	$417.98	$417.98	$440.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.14 / $588.92 / $1,020.05	Professional		$391.14	$588.92	$1,020.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.19 / $84.14 / $149.22	Professional	26	$59.19	$84.14	$149.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $332.01 / $504.79 / $874.31	Professional	TC	$332.01	$504.79	$874.31
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $345.86 / $560.35	Professional		$63.15	$345.86	$560.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $364.13 / $704.49 / $967.86	Professional		$364.13	$704.49	$967.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.21 / $107.28 / $149.96	Professional	26	$60.21	$107.28	$149.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $303.92 / $541.49 / $756.94	Professional	TC	$303.92	$541.49	$756.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $77.34 / $81.78	Professional		$69.65	$77.34	$81.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $241.59 / $241.59	Facility	26	$117.49	$241.59	$241.59
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $344.29 / $499.54 / $2,033.50	Professional		$344.29	$499.54	$2,033.50
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $48.48 / $71.62 / $313.45	Professional	26	$48.48	$71.62	$313.45
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $297.37 / $414.70 / $1,720.04	Professional	TC	$297.37	$414.70	$1,720.04
United Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $499.54 / $1,142.01	Professional		$353.21	$499.54	$1,142.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.48 / $69.38 / $163.69	Professional	26	$48.48	$69.38	$163.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $297.37 / $414.70 / $1,199.71	Professional	TC	$297.37	$414.70	$1,199.71