Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.77 / $42.77 / $79.55	Facility	26	$42.77	$42.77	$79.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $84.78 / $229.09	Professional		$66.92	$84.78	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.70 / $50.29 / $125.73	Professional	26	$38.70	$50.29	$125.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.37 / $31.88 / $69.79	Professional	TC	$23.37	$31.88	$69.79
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.52 / $96.89 / $204.09	Facility	26	$43.52	$96.89	$204.09
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $121.90 / $676.25	Professional		$69.89	$121.90	$676.25
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $40.44 / $63.28 / $271.97	Professional	26	$40.44	$63.28	$271.97
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $35.02 / $61.05 / $290.20	Professional	TC	$35.02	$61.05	$290.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.13 / $165.15 / $221.68	Professional		$127.13	$165.15	$221.68
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $46.39 / $72.55 / $100.93	Professional	26	$46.39	$72.55	$100.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $53.40 / $91.90 / $165.54	Professional	TC	$53.40	$91.90	$165.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.61 / $46.61 / $46.61	Facility	26	$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $146.03 / $307.75	Professional		$88.68	$146.03	$307.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.54 / $75.37 / $141.97	Professional	26	$45.54	$75.37	$141.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.18 / $66.70 / $141.71	Professional	TC	$35.18	$66.70	$141.71
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $55.12 / $119.18	Professional		$26.39	$55.12	$119.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $168.75 / $256.77	Professional		$79.94	$168.75	$256.77
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $46.34 / $89.48 / $129.60	Professional	26	$46.34	$89.48	$129.60
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $48.26 / $92.59 / $134.97	Professional	TC	$48.26	$92.59	$134.97
Health New England Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $63.40 / $118.30	Professional		$63.12	$63.40	$118.30
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $95.51 / $204.09 / $204.09	Facility	26	$95.51	$204.09	$204.09
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $127.62 / $676.25	Professional		$83.55	$127.62	$676.25
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $47.58 / $72.68 / $271.97	Professional	26	$47.58	$72.68	$271.97
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $34.28 / $65.40 / $290.20	Professional	TC	$34.28	$65.40	$290.20
United Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $110.41 / $222.83	Professional		$78.31	$110.41	$222.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.36 / $59.93 / $123.43	Professional	26	$45.36	$59.93	$123.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.28 / $51.94 / $131.31	Professional	TC	$34.28	$51.94	$131.31