Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $35.48 / $48.98	Facility	26	$23.99	$35.48	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $501.19	Professional		$95.50	$199.53	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $114.82	Professional	26	$22.91	$39.81	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $97.72 / $218.78	Professional	TC	$69.18	$97.72	$218.78
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $60.26 / $154.88	Facility	26	$54.95	$60.26	$154.88
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $691.83	Professional		$89.13	$158.49	$691.83
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.90 / $281.84	Professional	26	$23.44	$38.90	$281.84
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $123.03 / $478.63	Professional	TC	$72.44	$123.03	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $186.21	Professional		$107.15	$123.03	$186.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $47.86 / $63.10	Professional	26	$28.18	$47.86	$63.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $302.00	Professional		$104.71	$173.78	$302.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $40.74 / $72.44	Professional	26	$25.70	$40.74	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $134.90 / $234.42	Professional	TC	$79.43	$134.90	$234.42
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $70.79 / $177.83	Professional		$19.95	$70.79	$177.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $316.23	Professional		$104.71	$186.21	$316.23
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $43.65 / $67.61	Professional	26	$26.30	$43.65	$67.61
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $147.91 / $208.93	Professional	TC	$79.43	$147.91	$208.93
Health New England Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $194.98	Professional		$43.65	$50.12	$194.98
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $60.26 / $154.88	Facility	26	$54.95	$60.26	$154.88
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $691.83	Professional		$89.13	$151.36	$691.83
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $38.02 / $281.84	Professional	26	$23.44	$38.02	$281.84
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $478.63	Professional	TC	$74.13	$120.23	$478.63
Tufts Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $194.98	Professional		$85.11	$104.71	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $316.23	Professional		$100.00	$158.49	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $38.90 / $77.62	Professional	26	$26.30	$38.90	$77.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $120.23 / $239.88	Professional	TC	$74.13	$120.23	$239.88