Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $691.83	Professional		$91.20	$181.97	$691.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $35.48 / $154.88	Professional	26	$18.20	$35.48	$154.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $138.04 / $602.56	Professional	TC	$79.43	$138.04	$602.56
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $1,348.96	Professional		$158.49	$281.84	$1,348.96
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $50.12 / $316.23	Professional	26	$23.44	$50.12	$316.23
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $251.19 / $1,202.26	Professional	TC	$125.89	$251.19	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $562.34	Professional		$245.47	$398.11	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $43.65 / $58.88	Professional	26	$25.70	$43.65	$58.88
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $144.54 / $208.93	Professional	TC	$97.72	$144.54	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $363.08	Professional		$77.62	$194.98	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $25.12 / $81.28	Professional	26	$11.75	$25.12	$81.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $173.78 / $316.23	Professional	TC	$64.57	$173.78	$316.23
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $234.42 / $380.19	Professional		$28.18	$234.42	$380.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $588.84	Professional		$229.09	$398.11	$588.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $46.77 / $67.61	Professional	26	$26.92	$46.77	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $346.74 / $524.81	Professional	TC	$199.53	$346.74	$524.81
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	26	$239.88	$239.88	$239.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $1,348.96	Professional		$162.18	$281.84	$1,348.96
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $50.12 / $316.23	Professional	26	$23.44	$50.12	$316.23
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $251.19 / $1,202.26	Professional	TC	$125.89	$251.19	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $537.03	Professional		$134.90	$245.47	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $37.15 / $69.18	Professional	26	$22.39	$37.15	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $208.93 / $478.63	Professional	TC	$112.20	$208.93	$478.63