Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $126.70 / $191.19	Professional		$89.95	$126.70	$191.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.95 / $73.01 / $268.37	Professional	26	$63.95	$73.01	$268.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.78 / $53.71 / $62.44	Professional	TC	$20.78	$53.71	$62.44
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $429.02 / $429.02 / $429.02	Facility	26	$429.02	$429.02	$429.02
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $176.48 / $745.14	Professional		$86.19	$176.48	$745.14
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $63.76 / $138.54 / $538.00	Professional	26	$63.76	$138.54	$538.00
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.70 / $61.86 / $340.13	Professional	TC	$26.70	$61.86	$340.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $218.89 / $298.95	Professional		$137.41	$218.89	$298.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.88 / $156.88 / $220.57	Professional	26	$91.88	$156.88	$220.57
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $29.92 / $29.92 / $38.11	Professional	TC	$29.92	$29.92	$38.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $102.09 / $229.43	Professional		$62.64	$102.09	$229.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.26 / $74.84 / $147.90	Professional	26	$45.26	$74.84	$147.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.02 / $33.20 / $86.48	Professional	TC	$17.02	$33.20	$86.48
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $116.65 / $207.64	Professional		$39.88	$116.65	$207.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.54 / $269.39 / $363.33	Professional		$142.54	$269.39	$363.33
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $105.68 / $199.74 / $269.38	Professional	26	$105.68	$199.74	$269.38
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $69.67 / $93.96	Professional	TC	$36.86	$69.67	$93.96
Health New England Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $206.00 / $697.85	Professional		$134.13	$206.00	$697.85
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $429.02 / $429.02 / $429.02	Facility	26	$429.02	$429.02	$429.02
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $171.29 / $745.14	Professional		$77.98	$171.29	$745.14
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $131.57 / $538.00	Professional	26	$58.95	$131.57	$538.00
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $26.70 / $61.86 / $340.13	Professional	TC	$26.70	$61.86	$340.13
United Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $129.96 / $326.50	Professional		$73.04	$129.96	$326.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.23 / $93.98 / $221.75	Professional	26	$54.23	$93.98	$221.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.03 / $36.94 / $79.69	Professional	TC	$19.03	$36.94	$79.69