Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $108.56 / $250.43	Professional		$94.37	$108.56	$250.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.05 / $80.02 / $120.19	Professional	26	$70.05	$80.02	$120.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.61 / $28.24 / $36.77	Professional	TC	$19.61	$28.24	$36.77
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $82.51 / $82.51 / $123.76	Facility	26	$82.51	$82.51	$123.76
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $146.44 / $702.18	Professional		$96.14	$146.44	$702.18
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $106.31 / $487.97	Professional	26	$70.79	$106.31	$487.97
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $22.98 / $40.13 / $214.27	Professional	TC	$22.98	$40.13	$214.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.13 / $259.13 / $271.48	Professional		$259.13	$259.13	$271.48
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.94 / $151.34 / $191.33	Professional	26	$87.94	$151.34	$191.33
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $62.39 / $102.31 / $135.74	Professional	52	$62.39	$102.31	$135.74
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.84 / $60.41 / $79.91	Professional	TC	$36.84	$60.41	$79.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $154.78 / $321.35	Professional		$86.07	$154.78	$321.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.02 / $112.16 / $221.94	Professional	26	$67.02	$112.16	$221.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $43.00 / $99.41	Professional	TC	$19.86	$43.00	$99.41
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $67.69 / $145.04	Professional		$23.41	$67.69	$145.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $174.10 / $284.87	Professional		$97.87	$174.10	$284.87
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $69.73 / $124.30 / $205.95	Professional	26	$69.73	$124.30	$205.95
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $26.73 / $47.65 / $78.94	Professional	TC	$26.73	$47.65	$78.94
Health New England Facility/Professional Professional Modifier Low / Median / High Price $400.50 / $400.50 / $400.50	Professional		$400.50	$400.50	$400.50
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $146.44 / $702.18	Professional		$95.73	$146.44	$702.18
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $72.73 / $107.40 / $487.97	Professional	26	$72.73	$107.40	$487.97
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $22.06 / $40.13 / $214.27	Professional	TC	$22.06	$40.13	$214.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $126.28 / $278.17	Professional		$87.94	$126.28	$278.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.58 / $101.88 / $195.75	Professional	26	$70.58	$101.88	$195.75
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.11 / $33.78 / $78.66	Professional	TC	$21.11	$33.78	$78.66