Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.03 / $41.22 / $102.20	Facility	26	$33.03	$41.22	$102.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $164.35 / $435.11	Professional		$124.00	$164.35	$435.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.03 / $51.27 / $200.00	Professional	26	$33.03	$51.27	$200.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $90.97 / $99.15 / $250.03	Professional	TC	$90.97	$99.15	$250.03
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $46.66 / $104.00 / $239.31	Facility	26	$46.66	$104.00	$239.31
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $214.10 / $1,140.80	Professional		$93.41	$214.10	$1,140.80
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $31.39 / $59.10 / $330.05	Professional	26	$31.39	$59.10	$330.05
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $88.10 / $177.11 / $871.18	Professional	TC	$88.10	$177.11	$871.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $322.63 / $471.10	Professional		$194.83	$322.63	$471.10
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.30 / $68.65 / $103.80	Professional	26	$46.30	$68.65	$103.80
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $148.54 / $238.44 / $367.28	Professional	TC	$148.54	$238.44	$367.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $144.99 / $364.86	Professional		$86.74	$144.99	$364.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $37.59 / $102.97	Professional	26	$22.38	$37.59	$102.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.51 / $110.77 / $259.92	Professional	TC	$66.51	$110.77	$259.92
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $195.40 / $321.62	Professional		$52.64	$195.40	$321.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $389.13 / $538.16	Professional		$213.81	$389.13	$538.16
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $50.79 / $93.45 / $128.90	Professional	26	$50.79	$93.45	$128.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $163.02 / $299.95 / $413.74	Professional	TC	$163.02	$299.95	$413.74
Health New England Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $94.31 / $334.90	Professional		$64.15	$94.31	$334.90
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $239.31 / $239.31	Facility	26	$99.23	$239.31	$239.31
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $214.10 / $1,140.80	Professional		$93.41	$214.10	$1,140.80
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $41.28 / $68.08 / $330.05	Professional	26	$41.28	$68.08	$330.05
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $82.47 / $193.52 / $871.18	Professional	TC	$82.47	$193.52	$871.18
United Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $194.37 / $442.50	Professional		$71.20	$194.37	$442.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.96 / $49.65 / $106.03	Professional	26	$38.96	$49.65	$106.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $75.26 / $146.99 / $360.44	Professional	TC	$75.26	$146.99	$360.44