Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.95 / $163.50 / $357.59	Professional		$98.95	$163.50	$357.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.44 / $34.64 / $57.92	Professional	26	$16.44	$34.64	$57.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.77 / $136.52 / $322.94	Professional	TC	$79.77	$136.52	$322.94
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $240.51 / $240.51 / $240.51	Facility	26	$240.51	$240.51	$240.51
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $159.68 / $295.23 / $1,336.58	Professional		$159.68	$295.23	$1,336.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $24.26 / $49.67 / $315.72	Professional	26	$24.26	$49.67	$315.72
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $125.78 / $259.00 / $1,188.97	Professional	TC	$125.78	$259.00	$1,188.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.06 / $388.92 / $542.36	Professional		$235.06	$388.92	$542.36
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.86 / $40.86 / $57.45	Professional	26	$25.86	$40.86	$57.45
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $98.22 / $144.10 / $144.10	Professional	TC	$98.22	$144.10	$144.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $195.31 / $351.39	Professional		$77.44	$195.31	$351.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.13 / $23.15 / $81.30	Professional	26	$12.13	$23.15	$81.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.95 / $173.03 / $315.49	Professional	TC	$63.95	$173.03	$315.49
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $28.05 / $236.69 / $375.73	Professional		$28.05	$236.69	$375.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $238.80 / $451.33 / $608.70	Professional		$238.80	$451.33	$608.70
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $27.85 / $52.64 / $70.98	Professional	26	$27.85	$52.64	$70.98
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $210.94 / $398.68 / $537.69	Professional	TC	$210.94	$398.68	$537.69
Health New England Facility/Professional Professional Modifier Low / Median / High Price $216.45 / $216.45 / $216.45	Professional		$216.45	$216.45	$216.45
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $240.51 / $240.51 / $240.51	Facility	26	$240.51	$240.51	$240.51
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $144.76 / $271.24 / $1,336.58	Professional		$144.76	$271.24	$1,336.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.57 / $50.00 / $315.72	Professional	26	$23.57	$50.00	$315.72
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $113.37 / $233.69 / $1,188.97	Professional	TC	$113.37	$233.69	$1,188.97
United Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $222.58 / $539.41	Professional		$128.83	$222.58	$539.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.04 / $35.15 / $63.08	Professional	26	$18.04	$35.15	$63.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.03 / $186.72 / $469.09	Professional	TC	$112.03	$186.72	$469.09