Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $57.98 / $136.78	Professional		$46.79	$57.98	$136.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $9.13 / $20.10	Professional	26	$7.70	$9.13	$20.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.88 / $48.85 / $79.31	Professional	TC	$38.88	$48.85	$79.31
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $6.51 / $9.43 / $13.47	Facility	26	$6.51	$9.43	$13.47
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $76.79 / $343.33	Professional		$37.32	$76.79	$343.33
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $12.56 / $166.76	Professional	26	$6.92	$12.56	$166.76
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $36.09 / $68.55 / $288.04	Professional	TC	$36.09	$68.55	$288.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $69.36 / $115.47	Professional		$53.23	$69.36	$115.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $64.23 / $97.07 / $129.00	Professional	TC	$64.23	$97.07	$129.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $70.31 / $165.59	Professional		$38.81	$70.31	$165.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $11.15 / $24.93	Professional	26	$6.40	$11.15	$24.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.67 / $58.99 / $140.65	Professional	TC	$30.67	$58.99	$140.65
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $35.61 / $79.43	Professional		$5.93	$35.61	$79.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $118.95 / $166.27	Professional		$43.39	$118.95	$166.27
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $18.98 / $26.52	Professional	26	$6.92	$18.98	$26.52
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $36.47 / $99.99 / $139.77	Professional	TC	$36.47	$99.99	$139.77
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $71.08 / $343.33	Professional		$34.95	$71.08	$343.33
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $6.71 / $11.73 / $166.76	Professional	26	$6.71	$11.73	$166.76
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $29.12 / $60.69 / $288.04	Professional	TC	$29.12	$60.69	$288.04
Tufts Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $46.85 / $71.95	Professional		$39.63	$46.85	$71.95
United Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $62.95 / $130.11	Professional		$31.72	$62.95	$130.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $11.08 / $23.18	Professional	26	$6.36	$11.08	$23.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.01 / $52.78 / $109.09	Professional	TC	$25.01	$52.78	$109.09