Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $117.90 / $117.90 / $117.90	Facility	TC	$117.90	$117.90	$117.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $81.31 / $171.60	Professional		$69.45	$81.31	$171.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.91 / $143.78 / $771.28	Professional	26	$47.91	$143.78	$771.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.00 / $31.59 / $76.47	Professional	TC	$28.00	$31.59	$76.47
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $523.92 / $523.92 / $523.92	Facility		$523.92	$523.92	$523.92
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $300.87 / $300.87 / $300.87	Facility	26	$300.87	$300.87	$300.87
AllWays Health Partners Facility/Professional Facility Modifier TC Low / Median / High Price $223.06 / $223.06 / $223.06	Facility	TC	$223.06	$223.06	$223.06
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.68 / $150.50 / $643.49	Professional		$69.68	$150.50	$643.49
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.34 / $97.98 / $383.71	Professional	26	$45.34	$97.98	$383.71
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $26.23 / $69.03 / $350.03	Professional	TC	$26.23	$69.03	$350.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.89 / $206.89 / $206.89	Facility		$206.89	$206.89	$206.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $202.92 / $269.67	Professional		$153.32	$202.92	$269.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.99 / $116.48 / $154.79	Professional	26	$82.99	$116.48	$154.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $93.30 / $186.10	Professional		$51.85	$93.30	$186.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.77 / $61.30 / $110.77	Professional	26	$31.77	$61.30	$110.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $34.25 / $73.54	Professional	TC	$17.22	$34.25	$73.54
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $88.94 / $178.92	Professional		$53.36	$88.94	$178.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $231.94 / $315.31	Professional		$111.83	$231.94	$315.31
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.73 / $139.35 / $187.94	Professional	26	$73.73	$139.35	$187.94
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $49.97 / $94.44 / $127.37	Professional	TC	$49.97	$94.44	$127.37
Health New England Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $192.13 / $518.27	Professional		$96.18	$192.13	$518.27
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $523.92 / $523.92 / $523.92	Facility		$523.92	$523.92	$523.92
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $300.87 / $300.87 / $300.87	Facility	26	$300.87	$300.87	$300.87
Mass General Brigham Facility/Professional Facility Modifier TC Low / Median / High Price $223.06 / $223.06 / $223.06	Facility	TC	$223.06	$223.06	$223.06
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $142.12 / $643.49	Professional		$67.67	$142.12	$643.49
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $94.73 / $383.71	Professional	26	$44.03	$94.73	$383.71
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $54.24 / $350.03	Professional	TC	$24.97	$54.24	$350.03
United Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $110.36 / $233.79	Professional		$66.13	$110.36	$233.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $67.66 / $148.47	Professional	26	$40.79	$67.66	$148.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $49.91 / $124.46	Professional	TC	$22.44	$49.91	$124.46