Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $53.70 / $109.65	Facility	26	$53.70	$53.70	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $338.84	Professional		$79.43	$120.23	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $79.43 / $245.47	Professional	26	$51.29	$79.43	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $41.69 / $89.13	Professional	TC	$23.99	$41.69	$89.13
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $128.82 / $354.81	Facility	26	$43.65	$128.82	$354.81
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $741.31	Professional		$81.28	$134.90	$741.31
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $81.28 / $354.81	Professional	26	$50.12	$81.28	$354.81
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $56.23 / $288.40	Professional	TC	$34.67	$56.23	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $575.44	Professional		$114.82	$194.98	$575.44
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $95.50 / $204.17	Professional	26	$63.10	$95.50	$204.17
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $97.72 / $309.03	Professional	TC	$52.48	$97.72	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $354.81	Professional		$102.33	$154.88	$354.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $190.55	Professional	26	$60.26	$91.20	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $61.66 / $141.25	Professional	TC	$35.48	$61.66	$141.25
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $66.07 / $144.54	Professional		$30.90	$66.07	$144.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $269.15	Professional		$100.00	$158.49	$269.15
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $91.20 / $147.91	Professional	26	$56.23	$91.20	$147.91
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $69.18 / $117.49	Professional	TC	$43.65	$69.18	$117.49
Health New England Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $446.68	Professional		$87.10	$95.50	$446.68
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $128.82 / $354.81	Facility	26	$43.65	$128.82	$354.81
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $741.31	Professional		$81.28	$138.04	$741.31
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $81.28 / $354.81	Professional	26	$52.48	$81.28	$354.81
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $56.23 / $288.40	Professional	TC	$34.67	$56.23	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $288.40	Professional		$91.20	$138.04	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $87.10 / $162.18	Professional	26	$58.88	$87.10	$162.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $52.48 / $125.89	Professional	TC	$33.11	$52.48	$125.89