Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.95 / $54.82 / $163.12	Facility	26	$43.95	$54.82	$163.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $182.25 / $288.69	Professional		$140.76	$182.25	$288.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.95 / $59.92 / $183.24	Professional	26	$43.95	$59.92	$183.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.81 / $123.95 / $199.96	Professional	TC	$96.81	$123.95	$199.96
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $61.67 / $132.57 / $272.41	Facility	26	$61.67	$132.57	$272.41
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $252.10 / $1,809.00	Professional		$135.94	$252.10	$1,809.00
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.14 / $70.80 / $543.00	Professional	26	$41.14	$70.80	$543.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $94.81 / $175.86 / $1,266.00	Professional	TC	$94.81	$175.86	$1,266.00
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.31 / $108.96 / $152.07	Professional	26	$63.31	$108.96	$152.07
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $189.88 / $189.88 / $196.85	Professional	TC	$189.88	$189.88	$196.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.88 / $318.17 / $573.50	Professional		$227.88	$318.17	$573.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.78 / $94.91 / $167.55	Professional	26	$66.78	$94.91	$167.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.27 / $223.25 / $405.94	Professional	TC	$161.27	$223.25	$405.94
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $177.71 / $295.64	Professional		$71.27	$177.71	$295.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $215.86 / $409.49 / $880.55	Professional		$215.86	$409.49	$880.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $121.14 / $169.34	Professional	26	$67.98	$121.14	$169.34
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $147.87 / $263.45 / $368.28	Professional	TC	$147.87	$263.45	$368.28
Health New England Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $86.46 / $173.19	Professional		$78.18	$86.46	$173.19
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $132.57 / $132.57 / $272.41	Facility	26	$132.57	$132.57	$272.41
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $209.71 / $293.18 / $1,809.00	Professional		$209.71	$293.18	$1,809.00
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $81.39 / $543.00	Professional	26	$55.15	$81.39	$543.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $143.09 / $199.65 / $1,266.00	Professional	TC	$143.09	$199.65	$1,266.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $275.67 / $530.72	Professional		$201.74	$275.67	$530.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.15 / $77.76 / $207.69	Professional	26	$55.15	$77.76	$207.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $126.71 / $193.72 / $411.28	Professional	TC	$126.71	$193.72	$411.28