Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $100.40 / $261.32	Professional		$85.06	$100.40	$261.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $36.46 / $137.19	Professional	26	$24.10	$36.46	$137.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.42 / $63.34 / $206.54	Professional	TC	$51.42	$63.34	$206.54
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $173.52 / $173.52 / $173.52	Facility	26	$173.52	$173.52	$173.52
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $208.46 / $973.09	Professional		$89.30	$208.46	$973.09
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.58 / $64.33 / $237.42	Professional	26	$31.58	$64.33	$237.42
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $64.93 / $189.14 / $750.23	Professional	TC	$64.93	$189.14	$750.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $294.33 / $398.76	Professional		$173.43	$294.33	$398.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.99 / $65.78 / $88.84	Professional	26	$39.99	$65.78	$88.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $82.24 / $220.43 / $309.92	Professional	TC	$82.24	$220.43	$309.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $117.12 / $257.54	Professional		$60.25	$117.12	$257.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.76 / $34.40 / $71.63	Professional	26	$18.76	$34.40	$71.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.22 / $83.83 / $198.41	Professional	TC	$36.22	$83.83	$198.41
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $157.84 / $266.67	Professional		$43.39	$157.84	$266.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $334.04 / $452.09	Professional		$177.36	$334.04	$452.09
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $80.23 / $108.59	Professional	26	$42.60	$80.23	$108.59
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $134.76 / $254.70 / $343.50	Professional	TC	$134.76	$254.70	$343.50
Health New England Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $172.65 / $243.19	Professional		$54.50	$172.65	$243.19
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $173.52 / $173.52 / $173.52	Facility	26	$173.52	$173.52	$173.52
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $189.74 / $973.09	Professional		$81.39	$189.74	$973.09
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $31.58 / $56.30 / $237.42	Professional	26	$31.58	$56.30	$237.42
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $62.26 / $141.81 / $750.23	Professional	TC	$62.26	$141.81	$750.23
United Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $148.60 / $373.93	Professional		$71.90	$148.60	$373.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.37 / $40.61 / $92.73	Professional	26	$24.37	$40.61	$92.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.18 / $134.76 / $335.63	Professional	TC	$49.18	$134.76	$335.63