Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $398.11	Professional		$40.74	$60.26	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $69.18 / $199.53	Professional	26	$26.92	$69.18	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $102.33	Professional	TC	$15.14	$21.88	$102.33
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $83.18 / $478.63	Professional		$37.15	$83.18	$478.63
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $54.95 / $346.74	Professional	26	$25.12	$54.95	$346.74
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $36.31 / $331.13	Professional	TC	$16.60	$36.31	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $154.88	Professional		$67.61	$114.82	$154.88
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $67.61 / $91.20	Professional	26	$39.81	$67.61	$91.20
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $21.88 / $21.88	Professional	TC	$19.50	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $112.20	Professional		$28.84	$56.23	$112.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $33.11 / $72.44	Professional	26	$18.20	$33.11	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $19.95 / $40.74	Professional	TC	$11.22	$19.95	$40.74
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $97.72	Professional		$28.84	$48.98	$97.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $162.18	Professional		$60.26	$112.20	$162.18
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $69.18 / $104.71	Professional	26	$39.81	$69.18	$104.71
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $43.65 / $64.57	Professional	TC	$24.55	$43.65	$64.57
Health New England Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $151.36	Professional		$56.23	$72.44	$151.36
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $83.18 / $478.63	Professional		$38.02	$83.18	$478.63
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $56.23 / $346.74	Professional	26	$25.70	$56.23	$346.74
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $38.02 / $331.13	Professional	TC	$16.60	$38.02	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $151.36	Professional		$37.15	$66.07	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $40.74 / $93.33	Professional	26	$22.39	$40.74	$93.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $26.92 / $58.88	Professional	TC	$14.13	$26.92	$58.88