Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.67 / $59.67 / $110.99	Facility	26	$59.67	$59.67	$110.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $109.04 / $300.74	Professional		$86.81	$109.04	$300.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.25 / $73.41 / $177.80	Professional	26	$56.25	$73.41	$177.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.26 / $38.29 / $74.44	Professional	TC	$28.26	$38.29	$74.44
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $63.67 / $141.30 / $294.26	Facility	26	$63.67	$141.30	$294.26
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $154.88 / $865.60	Professional		$90.16	$154.88	$865.60
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $58.65 / $92.30 / $382.35	Professional	26	$58.65	$92.30	$382.35
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $64.84 / $307.58	Professional	TC	$37.15	$64.84	$307.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $205.14 / $277.89	Professional		$106.33	$205.14	$277.89
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.64 / $107.90 / $151.71	Professional	26	$75.64	$107.90	$151.71
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.80 / $97.75 / $176.08	Professional	TC	$56.80	$97.75	$176.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.20 / $68.20 / $68.20	Facility	26	$68.20	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $183.64 / $382.68	Professional		$111.16	$183.64	$382.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.31 / $110.95 / $208.20	Professional	26	$66.31	$110.95	$208.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $72.34 / $150.19	Professional	TC	$39.92	$72.34	$150.19
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $68.95 / $152.06	Professional		$32.13	$68.95	$152.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $213.94 / $324.36	Professional		$89.93	$213.94	$324.36
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $72.91 / $134.82 / $190.67	Professional	26	$72.91	$134.82	$190.67
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $51.32 / $98.47 / $143.54	Professional	TC	$51.32	$98.47	$143.54
Health New England Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $91.67 / $233.00	Professional		$78.84	$91.67	$233.00
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $140.60 / $294.26 / $294.26	Facility	26	$140.60	$294.26	$294.26
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $164.86 / $865.60	Professional		$107.93	$164.86	$865.60
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $104.50 / $382.35	Professional	26	$67.59	$104.50	$382.35
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $37.65 / $69.79 / $307.58	Professional	TC	$37.65	$69.79	$307.58
United Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $141.69 / $282.75	Professional		$101.41	$141.69	$282.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.48 / $87.18 / $174.81	Professional	26	$65.48	$87.18	$174.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.33 / $54.16 / $125.33	Professional	TC	$37.33	$54.16	$125.33