Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $407.38	Professional		$81.28	$134.90	$407.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $190.55 / $707.95	Professional	26	$43.65	$190.55	$707.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $97.72 / $724.44	Professional	TC	$50.12	$97.72	$724.44
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $758.58	Professional		$89.13	$177.83	$758.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $67.61 / $309.03	Professional	26	$37.15	$67.61	$309.03
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $125.89 / $512.86	Professional	TC	$58.88	$125.89	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $331.13	Professional		$147.91	$239.88	$331.13
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $77.62 / $104.71	Professional	26	$45.71	$77.62	$104.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $165.96 / $229.09	Professional	TC	$100.00	$165.96	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $257.04	Professional		$66.07	$120.23	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $39.81 / $91.20	Professional	26	$20.89	$39.81	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $75.86 / $169.82	Professional	TC	$43.65	$75.86	$169.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $371.54	Professional		$134.90	$257.04	$371.54
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $83.18 / $120.23	Professional	26	$46.77	$83.18	$120.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $173.78 / $251.19	Professional	TC	$97.72	$173.78	$251.19
Health New England Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $1,047.13	Professional		$75.86	$173.78	$1,047.13
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $758.58	Professional		$89.13	$186.21	$758.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $67.61 / $309.03	Professional	26	$39.81	$67.61	$309.03
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $125.89 / $512.86	Professional	TC	$58.88	$125.89	$512.86
Tufts Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $416.87	Professional		$91.20	$128.82	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $69.18 / $239.88	Facility		$23.44	$69.18	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $331.13	Professional		$87.10	$147.91	$331.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $53.70 / $112.20	Professional	26	$35.48	$53.70	$112.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $100.00 / $229.09	Professional	TC	$51.29	$100.00	$229.09