Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $199.53	Professional		$46.77	$75.86	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $45.71 / $158.49	Professional	26	$18.62	$45.71	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $51.29 / $173.78	Professional	TC	$32.36	$51.29	$173.78
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $407.38	Professional		$43.65	$95.50	$407.38
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $35.48 / $245.47	Professional	26	$19.95	$35.48	$245.47
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $74.13 / $269.15	Professional	TC	$29.51	$74.13	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $77.62	Professional		$66.07	$66.07	$77.62
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $42.66 / $57.54	Professional	26	$25.12	$42.66	$57.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $42.66 / $54.95	Professional	TC	$42.66	$42.66	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $128.82	Professional		$34.67	$61.66	$128.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $21.88 / $45.71	Professional	26	$11.48	$21.88	$45.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $36.31 / $91.20	Professional	TC	$23.44	$36.31	$91.20
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $72.44 / $131.83	Professional		$27.54	$72.44	$131.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $204.17	Professional		$74.13	$144.54	$204.17
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $43.65 / $63.10	Professional	26	$25.70	$43.65	$63.10
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $100.00 / $144.54	Professional	TC	$54.95	$100.00	$144.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $72.44 / $177.83	Professional		$36.31	$72.44	$177.83
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	26	$138.04	$138.04	$138.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $407.38	Professional		$50.12	$95.50	$407.38
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $41.69 / $245.47	Professional	26	$20.42	$41.69	$245.47
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $77.62 / $269.15	Professional	TC	$33.88	$77.62	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $40.74 / $52.48	Facility		$12.59	$40.74	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $186.21	Professional		$43.65	$83.18	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.18 / $61.66	Professional	26	$16.98	$28.18	$61.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $57.54 / $128.82	Professional	TC	$29.51	$57.54	$128.82