Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $120.55 / $361.32	Professional		$96.22	$120.55	$361.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.96 / $123.70 / $708.72	Professional	26	$40.96	$123.70	$708.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $56.28 / $73.48 / $185.33	Professional	TC	$56.28	$73.48	$185.33
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $633.51 / $633.51 / $633.51	Facility		$633.51	$633.51	$633.51
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $221.64 / $221.64 / $221.64	Facility	26	$221.64	$221.64	$221.64
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $191.10 / $764.45	Professional		$88.18	$191.10	$764.45
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $38.10 / $71.15 / $311.07	Professional	26	$38.10	$71.15	$311.07
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $59.53 / $134.30 / $507.20	Professional	TC	$59.53	$134.30	$507.20
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 $146.72 / $233.72 / $319.22	Professional		$146.72	$233.72	$319.22
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.08 / $77.19 / $118.00	Professional	26	$51.08	$77.19	$118.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $94.97 / $160.16 / $223.35	Professional	TC	$94.97	$160.16	$223.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $121.27 / $240.54	Professional		$65.67	$121.27	$240.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.66 / $39.72 / $88.48	Professional	26	$21.66	$39.72	$88.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.83 / $67.72 / $149.41	Professional	TC	$43.83	$67.72	$149.41
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $116.88 / $213.15	Professional		$50.10	$116.88	$213.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $270.08 / $371.13	Professional		$124.30	$270.08	$371.13
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $49.15 / $92.57 / $125.28	Professional	26	$49.15	$92.57	$125.28
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.08 / $191.64 / $247.46	Professional	TC	$97.08	$191.64	$247.46
Health New England Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $219.79 / $780.64	Professional		$73.26	$219.79	$780.64
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $633.51 / $633.51 / $633.51	Facility		$633.51	$633.51	$633.51
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $221.64 / $221.64 / $221.64	Facility	26	$221.64	$221.64	$221.64
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $178.36 / $764.45	Professional		$88.18	$178.36	$764.45
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $38.10 / $63.77 / $311.07	Professional	26	$38.10	$63.77	$311.07
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $54.60 / $124.12 / $507.20	Professional	TC	$54.60	$124.12	$507.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $135.43 / $313.83	Professional		$79.54	$135.43	$313.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.10 / $47.75 / $101.97	Professional	26	$35.10	$47.75	$101.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.02 / $91.67 / $211.86	Professional	TC	$51.02	$91.67	$211.86