Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $74.79 / $125.05	Professional		$42.36	$74.79	$125.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.47 / $24.58 / $97.72	Professional	26	$17.47	$24.58	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.30 / $49.89 / $123.51	Professional	TC	$27.30	$49.89	$123.51
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $373.45 / $373.45 / $373.45	Facility		$373.45	$373.45	$373.45
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $113.52 / $113.52 / $113.52	Facility	26	$113.52	$113.52	$113.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $108.39 / $407.64	Professional		$50.43	$108.39	$407.64
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $19.94 / $42.16 / $244.00	Professional	26	$19.94	$42.16	$244.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $33.75 / $78.51 / $268.50	Professional	TC	$33.75	$78.51	$268.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.91 / $45.91 / $45.91	Facility		$45.91	$45.91	$45.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $66.04 / $83.89	Professional		$66.04	$66.04	$83.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $41.26 / $55.72	Professional	26	$29.87	$41.26	$55.72
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $42.30 / $42.30 / $61.12	Professional	TC	$42.30	$42.30	$61.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $58.74 / $126.16	Professional		$34.83	$58.74	$126.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.73 / $21.57 / $44.61	Professional	26	$11.73	$21.57	$44.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.47 / $36.45 / $87.43	Professional	TC	$22.47	$36.45	$87.43
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $69.55 / $128.80	Professional		$27.20	$69.55	$128.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $162.01 / $219.26	Professional		$86.02	$162.01	$219.26
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.62 / $50.14 / $67.84	Professional	26	$26.62	$50.14	$67.84
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $59.39 / $111.86 / $151.38	Professional	TC	$59.39	$111.86	$151.38
Health New England Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $165.75 / $175.95	Professional		$35.90	$165.75	$175.95
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $373.45 / $373.45 / $373.45	Facility		$373.45	$373.45	$373.45
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $113.52 / $113.52 / $113.52	Facility	26	$113.52	$113.52	$113.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $93.06 / $407.64	Professional		$43.92	$93.06	$407.64
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.66 / $33.97 / $244.00	Professional	26	$19.66	$33.97	$244.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.83 / $66.23 / $268.50	Professional	TC	$29.83	$66.23	$268.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $72.67 / $176.73	Professional		$43.60	$72.67	$176.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.16 / $25.47 / $63.99	Professional	26	$17.16	$25.47	$63.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.69 / $47.20 / $122.15	Professional	TC	$29.69	$47.20	$122.15