Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.48 / $24.48 / $45.53	Facility	26	$24.48	$24.48	$45.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $161.82 / $402.18	Professional		$103.09	$161.82	$402.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.48 / $37.38 / $109.95	Professional	26	$24.48	$37.38	$109.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $76.38 / $103.86 / $186.46	Professional	TC	$76.38	$103.86	$186.46
AllWays Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $54.33 / $60.30 / $136.00	Facility	26	$54.33	$60.30	$136.00
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $203.24 / $698.76	Professional		$100.69	$203.24	$698.76
AllWays Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $26.12 / $52.78 / $279.51	Professional	26	$26.12	$52.78	$279.51
AllWays Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $76.94 / $172.00 / $479.00	Professional	TC	$76.94	$172.00	$479.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $20.55 / $150.76	Professional		$11.85	$20.55	$150.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.19 / $46.60 / $86.40	Professional	26	$33.19	$46.60	$86.40
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.73 / $117.73 / $122.89	Professional	TC	$117.73	$117.73	$122.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.53 / $31.53 / $31.53	Facility	26	$31.53	$31.53	$31.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $202.64 / $313.33	Professional		$125.78	$202.64	$313.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.43 / $47.52 / $78.80	Professional	26	$28.43	$47.52	$78.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $90.84 / $155.83 / $238.48	Professional	TC	$90.84	$155.83	$238.48
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $64.43 / $153.63	Professional		$18.13	$64.43	$153.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $237.10 / $317.89	Professional		$119.60	$237.10	$317.89
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $29.90 / $58.54 / $78.19	Professional	26	$29.90	$58.54	$78.19
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $108.09 / $180.66 / $238.42	Professional	TC	$108.09	$180.66	$238.42
Health New England Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $50.68 / $155.10	Professional		$38.25	$50.68	$155.10
Mass General Brigham Facility/Professional Facility Modifier 26 Low / Median / High Price $57.98 / $136.00 / $136.00	Facility	26	$57.98	$136.00	$136.00
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $114.78 / $215.66 / $698.76	Professional		$114.78	$215.66	$698.76
Mass General Brigham Facility/Professional Professional Modifier 26 Low / Median / High Price $28.34 / $58.63 / $279.51	Professional	26	$28.34	$58.63	$279.51
Mass General Brigham Facility/Professional Professional Modifier TC Low / Median / High Price $85.57 / $186.87 / $479.00	Professional	TC	$85.57	$186.87	$479.00
Tufts Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $107.87 / $205.49	Professional		$84.98	$107.87	$205.49
United Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $157.03 / $336.67	Professional		$104.49	$157.03	$336.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.24 / $42.26 / $80.98	Professional	26	$27.24	$42.26	$80.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $79.06 / $121.01 / $256.62	Professional	TC	$79.06	$121.01	$256.62