Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $70.39 / $199.12	Professional		$56.69	$70.39	$199.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.13 / $43.84 / $749.70	Professional	26	$21.13	$43.84	$749.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.56 / $45.47 / $155.27	Professional	TC	$35.56	$45.47	$155.27
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $139.56 / $139.56 / $139.56	Facility	26	$139.56	$139.56	$139.56
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $139.66 / $750.04	Professional		$71.84	$139.66	$750.04
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $20.26 / $41.66 / $179.95	Professional	26	$20.26	$41.66	$179.95
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.49 / $106.83 / $570.15	Professional	TC	$48.49	$106.83	$570.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $224.85 / $298.31	Professional		$131.69	$224.85	$298.31
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.32 / $53.17 / $70.31	Professional	26	$32.32	$53.17	$70.31
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.79 / $171.85 / $227.99	Professional	TC	$104.79	$171.85	$227.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $90.54 / $195.01	Professional		$38.38	$90.54	$195.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.73 / $24.76 / $48.87	Professional	26	$14.73	$24.76	$48.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.65 / $67.78 / $149.04	Professional	TC	$22.65	$67.78	$149.04
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $118.55 / $203.84	Professional		$35.07	$118.55	$203.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.58 / $255.35 / $345.59	Professional		$135.58	$255.35	$345.59
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $34.40 / $64.52 / $85.70	Professional	26	$34.40	$64.52	$85.70
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $101.17 / $191.21 / $257.88	Professional	TC	$101.17	$191.21	$257.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $327.52 / $921.36	Professional		$118.94	$327.52	$921.36
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $139.56 / $139.56 / $139.56	Facility	26	$139.56	$139.56	$139.56
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $117.20 / $750.04	Professional		$65.29	$117.20	$750.04
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $19.70 / $33.77 / $179.95	Professional	26	$19.70	$33.77	$179.95
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $45.59 / $85.88 / $570.15	Professional	TC	$45.59	$85.88	$570.15
United Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $108.82 / $249.47	Professional		$57.12	$108.82	$249.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.87 / $32.83 / $70.11	Professional	26	$18.87	$32.83	$70.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.86 / $75.98 / $264.57	Professional	TC	$36.86	$75.98	$264.57