Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $60.26 / $117.49	Facility	26	$58.88	$60.26	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $371.54	Professional		$87.10	$128.82	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $269.15	Professional	26	$56.23	$81.28	$269.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $44.67 / $95.50	Professional	TC	$28.18	$44.67	$95.50
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $141.25 / $380.19	Facility	26	$46.77	$141.25	$380.19
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $870.96	Professional		$89.13	$151.36	$870.96
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $89.13 / $380.19	Professional	26	$57.54	$89.13	$380.19
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $60.26 / $309.03	Professional	TC	$37.15	$60.26	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $630.96	Professional		$125.89	$213.80	$630.96
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $107.15 / $323.59	Professional	26	$67.61	$107.15	$323.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $104.71 / $338.84	Professional	TC	$56.23	$104.71	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $371.54	Professional		$109.65	$165.96	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $100.00 / $204.17	Professional	26	$66.07	$100.00	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $67.61 / $151.36	Professional	TC	$38.90	$67.61	$151.36
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $158.49	Professional		$33.11	$72.44	$158.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $281.84	Professional		$102.33	$147.91	$281.84
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $104.71 / $165.96	Professional	26	$60.26	$104.71	$165.96
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $69.18 / $125.89	Professional	TC	$46.77	$69.18	$125.89
Health New England Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $91.20	Professional		$89.13	$89.13	$91.20
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $141.25 / $380.19	Facility	26	$46.77	$141.25	$380.19
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $870.96	Professional		$89.13	$151.36	$870.96
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $89.13 / $380.19	Professional	26	$57.54	$89.13	$380.19
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $63.10 / $309.03	Professional	TC	$37.15	$63.10	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $309.03	Professional		$100.00	$154.88	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $95.50 / $177.83	Professional	26	$64.57	$95.50	$177.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $58.88 / $134.90	Professional	TC	$36.31	$58.88	$134.90