Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.79 / $45.79 / $45.79	Facility	26	$45.79	$45.79	$45.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $142.36 / $287.45	Professional		$103.86	$142.36	$287.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.78 / $47.85 / $115.69	Professional	26	$35.78	$47.85	$115.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $604.69 / $604.69 / $604.69	Professional	50	$604.69	$604.69	$604.69
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $63.57 / $90.37 / $200.77	Professional	TC	$63.57	$90.37	$200.77
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $93.79 / $104.09 / $214.20	Facility	26	$93.79	$104.09	$214.20
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $218.90 / $802.94	Professional		$107.69	$218.90	$802.94
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $79.28 / $261.89	Professional	26	$40.94	$79.28	$261.89
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $73.42 / $163.68 / $595.82	Professional	TC	$73.42	$163.68	$595.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $309.85 / $471.06	Professional		$196.11	$309.85	$471.06
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.18 / $81.66 / $106.28	Professional	26	$58.18	$81.66	$106.28
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $353.72 / $353.72 / $353.72	Professional	TC	$353.72	$353.72	$353.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $201.20 / $372.47	Professional		$123.45	$201.20	$372.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.81 / $70.94 / $122.23	Professional	26	$37.81	$70.94	$122.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.59 / $138.34 / $261.49	Professional	TC	$74.59	$138.34	$261.49
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $106.39 / $245.14	Professional		$32.36	$106.39	$245.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $193.33 / $389.37 / $505.58	Professional		$193.33	$389.37	$505.58
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $51.20 / $102.11 / $130.51	Professional	26	$51.20	$102.11	$130.51
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $142.13 / $286.25 / $362.29	Professional	TC	$142.13	$286.25	$362.29
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $96.14 / $214.20 / $214.20	Facility	26	$96.14	$214.20	$214.20
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $213.40 / $802.94	Professional		$105.74	$213.40	$802.94
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $44.03 / $82.10 / $261.89	Professional	26	$44.03	$82.10	$261.89
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $63.35 / $156.52 / $595.82	Professional	TC	$63.35	$156.52	$595.82
United Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $193.11 / $373.27	Professional		$105.74	$193.11	$373.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.94 / $60.36 / $112.52	Professional	26	$40.94	$60.36	$112.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $61.71 / $116.64 / $273.35	Professional	TC	$61.71	$116.64	$273.35