Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.90 / $54.90 / $102.11	Facility	26	$54.90	$54.90	$102.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $103.06 / $307.41	Professional		$79.79	$103.06	$307.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.87 / $74.26 / $175.28	Professional	26	$51.87	$74.26	$175.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.89 / $33.76 / $69.79	Professional	TC	$24.89	$33.76	$69.79
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $58.61 / $130.19 / $270.89	Facility	26	$58.61	$130.19	$270.89
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $140.41 / $746.58	Professional		$83.21	$140.41	$746.58
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $52.57 / $82.99 / $352.29	Professional	26	$52.57	$82.99	$352.29
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.75 / $60.57 / $288.04	Professional	TC	$34.75	$60.57	$288.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $190.00 / $257.41	Professional		$128.34	$190.00	$257.41
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.89 / $96.22 / $136.83	Professional	26	$62.89	$96.22	$136.83
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.98 / $90.81 / $239.07	Professional	TC	$52.98	$90.81	$239.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.81 / $62.81 / $62.81	Facility	26	$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $169.03 / $355.48	Professional		$102.94	$169.03	$355.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.74 / $100.63 / $190.75	Professional	26	$60.74	$100.63	$190.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.20 / $66.59 / $140.65	Professional	TC	$35.20	$66.59	$140.65
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $64.31 / $138.38	Professional		$29.97	$64.31	$138.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $204.54 / $309.55	Professional		$98.51	$204.54	$309.55
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $62.80 / $121.27 / $175.66	Professional	26	$62.80	$121.27	$175.66
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $47.87 / $91.85 / $133.88	Professional	TC	$47.87	$91.85	$133.88
Health New England Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $107.84 / $173.19	Professional		$81.90	$107.84	$173.19
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $129.41 / $270.89 / $270.89	Facility	26	$129.41	$270.89	$270.89
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $147.90 / $746.58	Professional		$99.85	$147.90	$746.58
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $61.50 / $96.35 / $352.29	Professional	26	$61.50	$96.35	$352.29
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $34.27 / $64.90 / $288.04	Professional	TC	$34.27	$64.90	$288.04
Tufts Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $100.65 / $164.27	Professional		$65.28	$100.65	$164.27
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $129.69 / $261.60	Professional		$97.89	$129.69	$261.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.28 / $81.81 / $208.46	Professional	26	$60.28	$81.81	$208.46
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.24 / $52.87 / $132.34	Professional	TC	$34.24	$52.87	$132.34