Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.05 / $43.05 / $80.06	Facility	26	$43.05	$43.05	$80.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $174.65 / $378.99	Professional		$132.32	$174.65	$378.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.05 / $51.45 / $142.19	Professional	26	$43.05	$51.45	$142.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.27 / $112.31 / $210.38	Professional	TC	$89.27	$112.31	$210.38
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $100.61 / $105.68 / $214.35	Facility	26	$100.61	$105.68	$214.35
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $303.42 / $1,086.26	Professional		$144.00	$303.42	$1,086.26
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $45.55 / $92.60 / $449.09	Professional	26	$45.55	$92.60	$449.09
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $99.79 / $226.24 / $893.67	Professional	TC	$99.79	$226.24	$893.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $66.47	Professional	26	$48.98	$48.98	$66.47
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $111.66 / $148.94 / $148.94	Professional	TC	$111.66	$148.94	$148.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.68 / $54.68 / $54.68	Facility	26	$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $279.45 / $449.67	Professional		$152.10	$279.45	$449.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.82 / $82.93 / $138.15	Professional	26	$49.82	$82.93	$138.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $106.79 / $197.84 / $313.14	Professional	TC	$106.79	$197.84	$313.14
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $89.22 / $209.32	Professional		$31.83	$89.22	$209.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $328.86 / $440.94	Professional		$165.89	$328.86	$440.94
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $52.43 / $102.66 / $137.11	Professional	26	$52.43	$102.66	$137.11
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $113.46 / $222.15 / $296.70	Professional	TC	$113.46	$222.15	$296.70
Health New England Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $74.51 / $74.51	Professional		$74.51	$74.51	$74.51
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $101.58 / $214.35 / $214.35	Facility	26	$101.58	$214.35	$214.35
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $321.35 / $1,086.26	Professional		$172.80	$321.35	$1,086.26
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $49.78 / $102.89 / $449.09	Professional	26	$49.78	$102.89	$449.09
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $116.31 / $245.73 / $893.67	Professional	TC	$116.31	$245.73	$893.67
United Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $259.85 / $467.92	Professional		$161.90	$259.85	$467.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $69.70 / $163.05	Professional	26	$46.19	$69.70	$163.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $101.90 / $189.94 / $332.33	Professional	TC	$101.90	$189.94	$332.33