Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $133.38 / $190.28	Professional		$82.44	$133.38	$190.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.20 / $47.18 / $134.24	Professional	26	$29.20	$47.18	$134.24
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.24 / $88.93 / $123.16	Professional	TC	$53.24	$88.93	$123.16
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $237.42 / $237.42 / $237.42	Facility	26	$237.42	$237.42	$237.42
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $194.89 / $907.71	Professional		$106.66	$194.89	$907.71
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $41.18 / $69.84 / $342.38	Professional	26	$41.18	$69.84	$342.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $76.45 / $138.51 / $565.88	Professional	TC	$76.45	$138.51	$565.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $143.76 / $362.66	Professional		$141.93	$143.76	$362.66
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $57.30 / $78.55 / $106.08	Professional	26	$57.30	$78.55	$106.08
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $91.42 / $95.81 / $109.48	Professional	TC	$91.42	$95.81	$109.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $116.71 / $257.85	Professional		$65.23	$116.71	$257.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $41.45 / $94.14	Professional	26	$22.60	$41.45	$94.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.93 / $73.11 / $168.31	Professional	TC	$42.93	$73.11	$168.31
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $109.93 / $206.86	Professional		$51.81	$109.93	$206.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $267.69 / $362.29	Professional		$142.13	$267.69	$362.29
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.20 / $96.43 / $130.51	Professional	26	$51.20	$96.43	$130.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $90.93 / $171.86 / $231.78	Professional	TC	$90.93	$171.86	$231.78
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $237.42 / $237.42 / $237.42	Facility	26	$237.42	$237.42	$237.42
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $194.89 / $907.71	Professional		$113.77	$194.89	$907.71
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $41.18 / $69.05 / $342.38	Professional	26	$41.18	$69.05	$342.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $73.69 / $128.75 / $565.88	Professional	TC	$73.69	$128.75	$565.88
United Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $148.56 / $307.04	Professional		$106.19	$148.56	$307.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.14 / $50.22 / $103.79	Professional	26	$30.14	$50.22	$103.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $68.20 / $101.57 / $240.08	Professional	TC	$68.20	$101.57	$240.08