Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $183.94 / $267.56	Professional		$85.00	$183.94	$267.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.58 / $52.60 / $236.84	Professional	26	$27.58	$52.60	$236.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.88 / $133.46 / $203.38	Professional	TC	$54.88	$133.46	$203.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $271.50 / $271.50 / $271.50	Facility	26	$271.50	$271.50	$271.50
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $239.40 / $1,070.24	Professional		$111.34	$239.40	$1,070.24
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $43.11 / $83.47 / $392.28	Professional	26	$43.11	$83.47	$392.28
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $81.02 / $176.01 / $793.60	Professional	TC	$81.02	$176.01	$793.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $184.67 / $471.87	Professional		$138.91	$184.67	$471.87
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.29 / $75.33 / $105.05	Professional	26	$47.29	$75.33	$105.05
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.56 / $95.02 / $95.02	Professional	TC	$67.56	$95.02	$95.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $155.26 / $310.89	Professional		$72.09	$155.26	$310.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.56 / $39.22 / $97.22	Professional	26	$21.56	$39.22	$97.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.64 / $102.01 / $221.11	Professional	TC	$50.64	$102.01	$221.11
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $155.43 / $275.02	Professional		$51.30	$155.43	$275.02
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $183.09 / $346.04 / $466.70	Professional		$183.09	$346.04	$466.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $50.38 / $94.89 / $127.86	Professional	26	$50.38	$94.89	$127.86
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $132.71 / $250.82 / $338.28	Professional	TC	$132.71	$250.82	$338.28
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $271.50 / $271.50 / $271.50	Facility	26	$271.50	$271.50	$271.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $222.41 / $1,070.24	Professional		$107.56	$222.41	$1,070.24
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $43.11 / $76.25 / $392.28	Professional	26	$43.11	$76.25	$392.28
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $68.13 / $158.16 / $793.60	Professional	TC	$68.13	$158.16	$793.60
United Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $166.00 / $329.80	Professional		$93.70	$166.00	$329.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.04 / $48.22 / $100.25	Professional	26	$28.04	$48.22	$100.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.62 / $121.32 / $270.60	Professional	TC	$64.62	$121.32	$270.60