Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $214.77 / $259.93	Professional		$76.87	$214.77	$259.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.47 / $49.35 / $54.07	Professional	26	$22.47	$49.35	$54.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.40 / $158.59 / $208.11	Professional	TC	$54.40	$158.59	$208.11
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $256.47 / $256.47 / $256.47	Facility	26	$256.47	$256.47	$256.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $253.60 / $1,210.67	Professional		$111.12	$253.60	$1,210.67
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $34.38 / $70.50 / $361.60	Professional	26	$34.38	$70.50	$361.60
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $79.40 / $183.33 / $914.18	Professional	TC	$79.40	$183.33	$914.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.32 / $119.32 / $274.38	Professional		$119.32	$119.32	$274.38
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $71.86 / $83.04 / $94.18	Professional	TC	$71.86	$83.04	$94.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $119.82 / $355.48	Professional		$60.69	$119.82	$355.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.19 / $31.89 / $88.90	Professional	26	$17.19	$31.89	$88.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.60 / $88.86 / $270.00	Professional	TC	$42.60	$88.86	$270.00
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $110.75 / $200.84	Professional		$39.76	$110.75	$200.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $252.26 / $341.41	Professional		$133.94	$252.26	$341.41
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $39.32 / $74.06 / $100.23	Professional	26	$39.32	$74.06	$100.23
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $94.62 / $178.83 / $241.19	Professional	TC	$94.62	$178.83	$241.19
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $256.47 / $256.47 / $256.47	Facility	26	$256.47	$256.47	$256.47
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $253.29 / $1,210.67	Professional		$115.13	$253.29	$1,210.67
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $35.50 / $68.79 / $361.60	Professional	26	$35.50	$68.79	$361.60
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $79.40 / $174.68 / $914.18	Professional	TC	$79.40	$174.68	$914.18
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $161.04 / $296.20	Professional		$97.86	$161.04	$296.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.37 / $42.94 / $80.87	Professional	26	$30.37	$42.94	$80.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.69 / $106.89 / $219.91	Professional	TC	$56.69	$106.89	$219.91