Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $83.98 / $153.16	Professional		$63.90	$83.98	$153.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.99 / $55.52 / $404.88	Professional	26	$45.99	$55.52	$404.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.44 / $35.96 / $58.83	Professional	TC	$22.44	$35.96	$58.83
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $298.82 / $298.82 / $298.82	Facility	26	$298.82	$298.82	$298.82
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $141.08 / $587.10	Professional		$70.30	$141.08	$587.10
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.32 / $96.80 / $381.48	Professional	26	$45.32	$96.80	$381.48
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $25.64 / $52.42 / $205.55	Professional	TC	$25.64	$52.42	$205.55
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.05 / $113.85 / $153.75	Professional	26	$83.05	$113.85	$153.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $93.74 / $173.96	Professional		$47.74	$93.74	$173.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.55 / $59.16 / $112.07	Professional	26	$31.55	$59.16	$112.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.22 / $27.55 / $56.90	Professional	TC	$17.22	$27.55	$56.90
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $83.40 / $161.40	Professional		$41.65	$83.40	$161.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $209.66 / $285.02	Professional		$101.09	$209.66	$285.02
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $73.31 / $138.57 / $186.89	Professional	26	$73.31	$138.57	$186.89
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $38.50 / $72.51 / $97.71	Professional	TC	$38.50	$72.51	$97.71
Health New England Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $105.43 / $196.16	Professional		$92.38	$105.43	$196.16
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $298.82 / $298.82 / $298.82	Facility	26	$298.82	$298.82	$298.82
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $134.43 / $587.10	Professional		$62.24	$134.43	$587.10
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $44.87 / $94.71 / $381.48	Professional	26	$44.87	$94.71	$381.48
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $21.50 / $41.97 / $205.55	Professional	TC	$21.50	$41.97	$205.55
United Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $102.62 / $234.11	Professional		$56.85	$102.62	$234.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.57 / $67.65 / $147.13	Professional	26	$38.57	$67.65	$147.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.03 / $31.96 / $72.19	Professional	TC	$19.03	$31.96	$72.19