Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $116.70 / $147.29	Professional		$92.06	$116.70	$147.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.47 / $15.20 / $24.85	Professional	26	$13.47	$15.20	$24.85
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.45 / $102.11 / $126.99	Professional	TC	$79.45	$102.11	$126.99
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $15.93 / $15.93 / $23.90	Facility	26	$15.93	$15.93	$23.90
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $164.62 / $800.25	Professional		$100.24	$164.62	$800.25
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $13.64 / $20.30 / $135.38	Professional	26	$13.64	$20.30	$135.38
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $88.34 / $155.47 / $706.26	Professional	TC	$88.34	$155.47	$706.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $13.92 / $18.42	Professional		$8.49	$13.92	$18.42
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $29.22 / $36.94	Professional	26	$16.98	$29.22	$36.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $149.28 / $244.79 / $323.82	Professional	TC	$149.28	$244.79	$323.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $182.00 / $387.29	Professional		$89.72	$182.00	$387.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.38 / $21.89 / $42.86	Professional	26	$12.38	$21.89	$42.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.54 / $148.00 / $343.18	Professional	TC	$74.54	$148.00	$343.18
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $91.96 / $204.63	Professional		$10.97	$91.96	$204.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $268.77 / $403.98	Professional		$105.43	$268.77	$403.98
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $13.52 / $24.09 / $39.90	Professional	26	$13.52	$24.09	$39.90
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $108.14 / $192.75 / $319.36	Professional	TC	$108.14	$192.75	$319.36
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $160.28 / $800.25	Professional		$100.06	$160.28	$800.25
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $21.65 / $135.38	Professional	26	$13.97	$21.65	$135.38
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $86.88 / $141.51 / $706.26	Professional	TC	$86.88	$141.51	$706.26
United Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $136.24 / $351.75	Professional		$95.71	$136.24	$351.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.19 / $19.19 / $41.42	Professional	26	$13.19	$19.19	$41.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $83.44 / $131.02 / $296.91	Professional	TC	$83.44	$131.02	$296.91