Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $776.25	Professional		$85.11	$173.78	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $66.07 / $281.84	Professional	26	$30.20	$66.07	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $125.89 / $562.34	Professional	TC	$53.70	$125.89	$562.34
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $1,071.52	Professional		$107.15	$239.88	$1,071.52
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $81.28 / $389.05	Professional	26	$40.74	$81.28	$389.05
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $165.96 / $794.33	Professional	TC	$75.86	$165.96	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $489.78	Professional		$138.04	$186.21	$489.78
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $77.62 / $107.15	Professional	26	$46.77	$77.62	$107.15
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $125.89	Professional	TC	$67.61	$95.50	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $154.88 / $346.74	Professional		$72.44	$154.88	$346.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $38.90 / $97.72	Professional	26	$21.38	$38.90	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $102.33 / $251.19	Professional	TC	$50.12	$102.33	$251.19
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $162.18 / $281.84	Professional		$51.29	$162.18	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $446.68	Professional		$165.96	$309.03	$446.68
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $85.11 / $123.03	Professional	26	$48.98	$85.11	$123.03
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $223.87 / $323.59	Professional	TC	$128.82	$223.87	$323.59
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $1,071.52	Professional		$112.20	$239.88	$1,071.52
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $81.28 / $389.05	Professional	26	$43.65	$81.28	$389.05
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $165.96 / $794.33	Professional	TC	$81.28	$165.96	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $407.38	Professional		$107.15	$194.98	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $54.95 / $117.49	Professional	26	$37.15	$54.95	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $131.83 / $316.23	Professional	TC	$64.57	$131.83	$316.23